Moms LLC
NPI #1053458240 in Taos, New Mexico
Provider Information
- NPI Number
- 1053458240
- Entity Type
- Organization
- Organization Name
- Moms LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Mar 19, 2008
Practice Location
- Address
- 1329 GUSDORF RD
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6282
- Phone
- (575) 737-6504
Authorized Official
- Name
- MR. WARREN K SPELLMAN
- Title
- CEO
- Phone
- (575) 751-5714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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