NPI 1316658008
Fallen Angels LLC
Practice location
- Address
- 5104 San Adan Ave NW, Albuquerque, NM 87120-1834
- Phone
- (626) 940-4511
Authorised official
- Name
- Mariah Rae Brown
- Title
- Ceo
- Phone
- (505) 389-8100
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1316658008
- Entity type
- Organization
- NPI issued
- 13 Dec 2022
- Record last updated
- 16 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.