| Mary's Second Half, Llc | |
|
1226 Milner Ln Longmont CO 80503-3631 | |
| (303) 931-4095 | |
| Not Available |
| Full Name | Mary's Second Half, Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 1226 Milner Ln, Longmont, Colorado |
| Authorized Official Name and Position | Mary Graeff Gomez (SOLE OWNER/SERVICE PROVIDER) |
| Authorized Official Contact | 3039314095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary's Second Half, Llc 1226 Milner Ln Longmont CO 80503-3631 Ph: () - | Mary's Second Half, Llc 1226 Milner Ln Longmont CO 80503-3631 Ph: (303) 931-4095 |
| NPI Number | 1073467270 |
|---|---|
| Provider Enumeration Date | 02/24/2026 |
| Last Update Date | 02/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073467270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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