Organization
HEALTHY YOU PERSONALIZED PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA B. PROVENCIO MD (OWNER)
(575) 259-3638
Entity
Organization
Contact information
Practice address
1240 S TELSHOR BLVD STE A, LAS CRUCES, NM 88011-4731
(575) 915-8821
Mailing address
1240 S TELSHOR BLVD STE A, LAS CRUCES, NM 88011-4731
(575) 259-3638
(855) 538-0781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
08/25/2025
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