| Mugshot Mugs | |
|
50 San Pablo Ln Edgewood NM 87015-6836 | |
| (505) 785-1155 | |
| (505) 785-1155 |
| Full Name | Mugshot Mugs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 50 San Pablo Ln, Edgewood, New Mexico |
| Authorized Official Name and Position | Krystal Marie Blanton (FOUNDER & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5057851155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mugshot Mugs Po Box 1207 Edgewood NM 87015-1207 Ph: (505) 785-1155 | Mugshot Mugs 50 San Pablo Ln Edgewood NM 87015-6836 Ph: (505) 785-1155 |
| NPI Number | 1598644809 |
|---|---|
| Provider Enumeration Date | 08/29/2025 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598644809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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