Vip Starnetwork, LLC

NPI #1104442698 in Albuquerque, New Mexico

Provider Information

NPI Number
1104442698
Entity Type
Organization
Organization Name
Vip Starnetwork, LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 19, 2020
Last Updated
Jun 19, 2020

Practice Location

Address
4904 ALAMEDA BLVD NE STE B
ZIP Code
87113-2385
Phone
(505) 389-2279

Authorized Official

Name
JOHONNIUSS H CHEMWENO
Title
CEO
Phone
(505) 389-2279

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based
Public Health or Welfare
Supports Brokerage
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Medical SpecialtyMedical Specialty

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