La Bonna Vita Cosmetic Spa, LLC
La Bonna Vita Cosmetic Spa, LLC is an Adult Medicine Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.
- Licensed in
- NM
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4333 Pan American Fwy NE Ste CAlbuquerque, NM 87107-6831
Phone: (505) 344-6334
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 89-270 (NM) |
|---|
Record details
| NPI number | 1861720757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Lester — Managing Member · (505) 453-7886 |
| NPI enumerated | December 3, 2009 |
| Last updated in NPPES | December 3, 2009 |
| Mailing address | 4333 Pan American Fwy Ne, Suite C, Albuquerque, NM 87107-6831 |
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