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Contact Information

MARIPOSA TRANSFORMATION WELLNESS CENTER, LLC
4550 EUBANK BLVD NE
SUITE D205
ALBUQUERQUE, NM87111-2565
 Phone: 505-234-6432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARIPOSA TRANSFORMATION WELLNESS CENTER LLC · (Female)

NPI Number 1962127878
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2022
Last updated 03/30/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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