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
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 - MedicalMedical
Physician Assistant - SurgicalSurgical
Physician Assistant

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