LA BONNA VITA COSMETIC SPA LLC NPI 1861720757

NPI Information

LA BONNA VITA COSMETIC SPA, LLC is an adult medicine family medicine in Albuquerque, NM. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. LA BONNA VITA COSMETIC SPA, LLC NPI is 1861720757. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4333 PAN AMERICAN FWY NE
SUITE C
ALBUQUERQUE, NM
ZIP 87107-831
Phone: (505) 344-6334

The provider's authorized official is James Lester .
The authorized official title is Managing Member and has the following contact phone number (505) 453-7886.

The enumeration date for this NPI number is 12/3/2009 and was last updated on 12/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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