| Integrated Wellness | |
|
10209 Nacimiento St Nw Albuquerque NM 87114-4457 | |
| (505) 433-0335 | |
| Not Available |
| Full Name | Integrated Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10209 Nacimiento St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Joshua Kawika Peiper (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5054330335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wellness 10209 Nacimiento St Nw Albuquerque NM 87114-4457 Ph: (505) 433-0335 | Integrated Wellness 10209 Nacimiento St Nw Albuquerque NM 87114-4457 Ph: (505) 433-0335 |
| NPI Number | 1063788701 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063788701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | FA01022864 (New Mexico) | Primary |
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