Organization
BODY POTIONS EMPORIUM, INC.
Active
Other names
Body Potions Emporium, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIN LAEBEIN ATREIDES LMT 8032 (FOUNDER CEO AND MASSAGE THERAPIST)
(505) 688-1377
Entity
Organization
Contact information
Practice address
3620 WYOMING BLVD NE STE 110, ALBUQUERQUE, NM 87111-3286
(505) 910-4410
Mailing address
3620 WYOMING BLVD NE STE 110, ALBUQUERQUE, NM 87111-3286
(505) 910-4410
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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