Enchantment Healthcare,llc
NPI #1962849950 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1962849950
- Entity Type
- Organization
- Organization Name
- Enchantment Healthcare,llc
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 30, 2013
- Last Updated
- May 30, 2013
Practice Location
- Address
- 106 MAIN ST NE
- Address 2
- SUITE A
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-7559
- Phone
- (505) 565-0070
Authorized Official
- Name
- MRS. MONIQUE NICOLE SISNEROS
- Title
- OFFICE MANAGER
- Phone
- (505) 615-8336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant |
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