| La Victoria Health For All, Llc | |
|
3830 N Grimes St Suite G Hobbs NM 88240-1279 | |
| (575) 397-3362 | |
| (575) 397-0293 |
| Full Name | La Victoria Health For All, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3830 N Grimes St, Hobbs, New Mexico |
| Authorized Official Name and Position | Maria Ndey (PROVIDER) |
| Authorized Official Contact | 5753973362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Victoria Health For All, Llc 3830 N Grimes St Suite G Hobbs NM 88240-1279 Ph: (575) 397-3362 | La Victoria Health For All, Llc 3830 N Grimes St Suite G Hobbs NM 88240-1279 Ph: (575) 397-3362 |
| NPI Number | 1225376320 |
|---|---|
| Provider Enumeration Date | 01/23/2013 |
| Last Update Date | 05/18/2013 |
| Medicare PECOS PAC ID | 8527205152 |
|---|---|
| Medicare Enrollment ID | O20130518000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225376320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD20120430 (New Mexico) | Primary |
| Provider Name | Maria Assumpta Ndey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619188034 PECOS PAC ID: 9931358512 Enrollment ID: I20130520000094 |
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