Organization
EASTERN HILLS HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CARR RANDALL DOM (PRESIDENT)
(505) 401-1188
Entity
Organization
Contact information
Practice address
5800 MCLEOD RD NE, SUITE C, ALBUQUERQUE, NM 87109-2454
(505) 401-1188
(505) 884-4995
Mailing address
5800 MCLEOD RD NE, SUITE C, ALBUQUERQUE, NM 87109-2454
(505) 401-1188
(505) 884-4995
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1045
NM
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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