Organization
STUDIO VSC PREVENTIVE HEALTH MAINTENANCE OF THE FEET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA S CHAVIRA R.C (REGISTERED COSMETOLOGIST)
(505) 516-9869
Entity
Organization
Contact information
Practice address
910 8TH ST SW, ALBUQUERQUE, NM 87102-4006
(505) 516-9869
Mailing address
910 8TH ST SW, ALBUQUERQUE, NM 87102-4006
(505) 516-9869
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
CO039083
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080160135
US FEDERAL SYSTEM OF AWARD MANAGEMENT BELOW IS DUNS # HERE IS CAGE CODE 7KCN9
NM
Enumeration date
04/15/2016
Last updated
04/15/2016
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