Organization
LUMINOSITY HEADQUARTERS
Active
Organization
LUMINOSITY HEADQUARTERS
Active
Other names
Cognitive Fitness Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE WHITAKER (BUSINESS OWNER)
(620) 391-8120
Entity
Organization
Contact information
Practice address
108 N BEHREND AVE STE E, FARMINGTON, NM 87401-8418
(620) 391-8120
Mailing address
108 N BEHREND AVE STE E, FARMINGTON, NM 87401-8418
(620) 391-8120
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
03/02/2022
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