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Contact Information

LUNA DE COBRE THERAPY CENTER, LLC
807 GRANT ST.
BAYARD, NM88023
 Phone: 575-590-2202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LUNA DE COBRE THERAPY CENTER LLC · (Female)

NPI # 1184949422
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2010
Last updated 03/30/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 0101621
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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