LA LUZ PROVIDER AGENCY LLC

SANTA FE, NM
NPI1245692102
Entity TypeOrganization
Authorized ContactCHERYL SCIACCA
Co Owner
505-660-3484
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Additional Taxonomies101Y00000X Counselor
221700000X Art Therapist
Enumeration Date2016-03-22
Last Update Date2024-11-14
Business Address
LA LUZ PROVIDER AGENCY LLC
501 FRANKLIN AVE UNIT 6
SANTA FE, NM 87501-3617
Phone number: 505-660-3484
Mailing Address
LA LUZ PROVIDER AGENCY LLC
PO BOX 34091
SANTA FE, NM 87594-4091
Phone number: 505-660-3484