Vibrancy Vip Medclinic LLC
NPI #1184351926 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1184351926
- Entity Type
- Organization
- Organization Name
- Vibrancy Vip Medclinic LLC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Aug 2, 2022
- Last Updated
- Aug 2, 2022
Practice Location
- Address
- 4801 ALAMEDA BLVD NE STE A
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87113-1532
- Phone
- (505) 309-3496
Authorized Official
- Name
- SONJA MAILMAN
- Title
- CLINIC MANAGER
- Phone
- (505) 309-3496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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