Healthcare Provider Details

I. General information

NPI: 1720849656
Provider Name (Legal Business Name): MORE SPOONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5203 JUAN TABO BLVD NE STE 2B
ALBUQUERQUE NM
87111-2691
US

IV. Provider business mailing address

PO BOX 212
WILLIAMSBURG NM
87942-0212
US

V. Phone/Fax

Practice location:
  • Phone: 575-201-3344
  • Fax: 575-334-0201
Mailing address:
  • Phone: 575-201-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MELINDA ROSE JONES
Title or Position: OWNER/PROVIDER
Credential: RDN, PA-C
Phone: 575-201-3344