Bellaluna Lil Light Llc/dba Mountain Grit Wellness LLC
NPI #1336959667 in Mayhill, New Mexico
Provider Information
- NPI Number
- 1336959667
- Entity Type
- Organization
- Organization Name
- Bellaluna Lil Light Llc/dba Mountain Grit Wellness LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 9, 2025
- Last Updated
- Jan 9, 2025
Practice Location
- Address
- 3496 US HIGHWAY 82
- City
- Mayhill
- State
- New Mexico
- ZIP Code
- 88339
- Phone
- (575) 687-4232
Authorized Official
- Name
- SHARLENE E. ROGERS, CNP
- Title
- OWNER/MANAGER/PROVIDER
- Phone
- (575) 491-2310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Registered Nurse - Infusion Therapy — Infusion Therapy |
| Clinic/Center |
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