MOMS LLC, Specialist TAOS, NM

Contact Information

MOMS LLC

1329 GUSDORF RD
TAOS, NM 87571-6282

Phone: 505-758-5001
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for MOMS LLC · (Female)

NPI #	`1306999032`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/18/2007
Last updated	08/22/2020 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	NM License # 2001-264
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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