Organization
SLEEP EZE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DOUGLAS (PRESIDENT)
(520) 405-4088
Entity
Organization
Contact information
Practice address
4801 N BUTLER AVE STE 6102, FARMINGTON, NM 87401-2624
(505) 325-9495
(505) 325-0705
Mailing address
4801 N BUTLER AVE STE 6102, FARMINGTON, NM 87401-2624
(505) 325-9495
(505) 325-0705
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
02/23/2024
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