Organization
BARE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA J ESQUIBEL MS, RD, LD (OWNER)
(575) 649-0073
Entity
Organization
Contact information
Practice address
1155 S TELSHOR BLVD STE 301, LAS CRUCES, NM 88011-4757
(575) 649-0073
Mailing address
C/O BBP SERVICES LLC, 1180 COMMERCE DR SUITE 13880, LAS CRUCES, NM 88013-4636
(575) 649-0073
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
01/20/2022
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