Organization
ENCHANTED FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LOU SINGLETON FNP-BC (OWNER)
(505) 573-5134
Entity
Organization
Contact information
Practice address
4916 4TH ST NW, ALBUQUERQUE, NM 87107-3949
(505) 344-1939
(505) 214-5640
Mailing address
4916 4TH ST NW, ALBUQUERQUE, NM 87107-3949
(505) 344-1939
(505) 214-5640
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CNP 02228
NM
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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