Organization
BRAIN BALANCE LIFE BALANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA M GUFFEY REGISTERED NURSE (NURSE CASE MANAGER)
(505) 436-2347
Entity
Organization
Contact information
Practice address
719 W APACHE ST, FARMINGTON, NM 87401-5512
(505) 436-2347
(505) 278-8939
Mailing address
719 W APACHE ST, FARMINGTON, NM 87401-5512
(505) 436-2347
(505) 278-8939
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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