Organization
LUMA NOVA LEARNING CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEB PULTS (TREASURER)
(575) 243-5001
Entity
Organization
Contact information
Practice address
406 S LEA AVE, ROSWELL, NM 88203-4564
(575) 243-5001
(575) 616-7006
Mailing address
406 S LEA AVE, ROSWELL, NM 88203-4564
(575) 243-5001
(575) 616-7006
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174H00000X
Health Educator
—
—
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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