Organization
TRANSFORMED FOR LIFE, LLC
Active
Other names
Transformed for Life
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN ARMIJO (PRACTICE MANAGER)
(505) 343-2010
Entity
Organization
Contact information
Practice address
316 OSUNA RD NE STE 201, ALBUQUERQUE, NM 87107-5950
(505) 343-2010
(505) 247-8881
Mailing address
316 OSUNA RD NE STE 201, ALBUQUERQUE, NM 87107-5950
(505) 343-2010
(505) 247-8881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
04/07/2020
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