Organization
WELLNESS AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE CASTILLO (CREDENTIALING SPECIALIST)
(575) 288-1336
Entity
Organization
Contact information
Practice address
705 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2128
(575) 288-1336
(323) 334-1449
Mailing address
705 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2128
(575) 288-1336
(323) 334-1449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
12/20/2024
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