Organization · Type 2 NPI

La Bonna Vita Cosmetic Spa, LLC

Adult Medicine Physician · Albuquerque, NM

NPI number 1861720757 Active

About NPI 1861720757

La Bonna Vita Cosmetic Spa, LLC's National Provider Identifier is 1861720757, issued on Dec 3, 2009. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 3, 2009.