Organization
WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAL D. PITKIN CNP (OWNER)
(575) 613-6118
Entity
Organization
Contact information
Practice address
1331 MAESTAS RD, TAOS, NM 87571-6268
(575) 613-6118
(866) 521-1434
Mailing address
PO BOX 2286, RANCHOS DE TAOS, NM 87557-2286
(575) 613-6118
(866) 521-1434
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP00496
NM
Other
Enumeration date
03/24/2011
Last updated
04/30/2012
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