Tribalights INC
NPI #1063296820 in Aztec, New Mexico
Provider Information
- NPI Number
- 1063296820
- Entity Type
- Organization
- Organization Name
- Tribalights INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 22, 2023
- Last Updated
- Aug 23, 2023
Practice Location
- Address
- 20 ROAD 2050
- City
- Aztec
- State
- New Mexico
- ZIP Code
- 87410-3004
- Phone
- (310) 721-4398
Authorized Official
- Name
- PHOENIX GERMANO
- Title
- CO-FOUNDER & COO
- Phone
- (310) 721-4398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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