FOS WELLNESS, LTD

PORTALES, NM
NPI1982185948
Doing Business AsTRINITY CHRISTIAN CARE
Entity TypeOrganization
Authorized ContactREBECCA KIZER
President
575-607-8702
Organization Subpart ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
Additional Taxonomies163W00000X Registered Nurse
(Licence: NM  RN-72322)
163WD0400X Registered Nurse Diabetes Educator
(Licence: NM  RN-72322)
163WN1003X Registered Nurse Nutrition Support
(Licence: NM  RN-72322)
261QP2300X Clinic/Center Primary Care
Enumeration Date2018-08-27
Last Update Date2021-11-04
Business Address
FOS WELLNESS, LTD
1698 S ROOSEVELT ROAD 13
PORTALES, NM 88130-8705
Phone number: 575-607-8702
Mailing Address
FOS WELLNESS, LTD
1698 S ROOSEVELT ROAD 13
PORTALES, NM 88130-8705
Phone number: 575-607-8702