Organization
NEW SELF LOVE FOUNDATION . INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGUERITA GASPARD (C.E.O.)
(575) 987-2719
Entity
Organization
Contact information
Practice address
123 PAWHUSKA DRIVE, TIMBERON, NM 88350
(575) 987-2719
Mailing address
P.O. BOX 166, 123 PAWHUSKA DRIVE, TIMBERON, NM 88350
(575) 987-2719
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2962215
NM
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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