NPI | 1023255510 |
---|---|
Former Legal Business Name | VALENCIA FAMILY MEDICINE & EXPRESS CARE |
Entity Type | Organization |
Authorized Contact | LEONA MARIE HERRELL Family Nurse Practitioner 505-565-2232 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM R35144) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2009-01-21 |