Organization
GOOD LIFE MED SPA
Active
Organization
GOOD LIFE MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARDJAMES GONZALES (DIRECTOR)
(505) 510-1621
Entity
Organization
Contact information
Practice address
315 W REINKEN AVE STE B, BELEN, NM 87002-4257
(505) 510-1621
Mailing address
315 W REINKEN AVE STE B, BELEN, NM 87002-4257
(505) 510-1621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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