Provider Demographics
NPI:1356540934
Name:A & M ENTERPRISES, INC. DBA FULL CIRCLE WELLNESS CENTER
Entity type:Organization
Organization Name:A & M ENTERPRISES, INC. DBA FULL CIRCLE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE-PRESIDENT/LMT/CMNTPT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, CMNTPT
Authorized Official - Phone:505-265-3400
Mailing Address - Street 1:1719 GIRARD BLVD. NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-1718
Mailing Address - Country:US
Mailing Address - Phone:505-265-3400
Mailing Address - Fax:505-265-3404
Practice Address - Street 1:1719 GIRARD BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-1718
Practice Address - Country:US
Practice Address - Phone:505-265-3400
Practice Address - Fax:505-265-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2679172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty