Organization
SAGE AESTHETICS AND WELLNESS, LLC
Active
Other names
Sage AW, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY RIVERA DNP, NP (MEMBER)
(575) 233-7770
Entity
Organization
Contact information
Practice address
1990 E LOHMAN AVE, LAS CRUCES, NM 88001-3172
(575) 233-7770
(575) 233-7775
Mailing address
1990 E LOHMAN AVE, LAS CRUCES, NM 88001-3172
(575) 233-7770
(575) 233-7775
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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