Mariposa Transformation Wellness Center, LLC
NPI #1962127878 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1962127878
- Entity Type
- Organization
- Organization Name
- Mariposa Transformation Wellness Center, LLC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 4, 2022
- Last Updated
- Mar 30, 2023
Practice Location
- Address
- 4550 EUBANK BLVD NE
- Address 2
- SUITE D205
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87111-2565
- Phone
- (505) 234-6432
Authorized Official
- Name
- MS. MICHELLE RENEE LUCERO, PA-C
- Title
- PA-C / OWNER
- Phone
- (505) 234-6432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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