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NPI Code Detail

MEDICARE: SERENITY SALINAS

MEDICARE: SERENITY SALINAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNM

General Provider Information

NPI Number : 1477356830
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENITY SALINAS
Provider Business Mailing Address
First Line : 4600 COLUMBINE AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-2236
Country : US
Telephone Number : 505-916-7618
Fax Number :
Provider Business Practice Location Address
First Line : 3428 HIGHWAY 47
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-8271
Country : US
Telephone Number : 505-916-7618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “ SERENITY SALINAS ” Practice Location

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