| NPI | 1023395001 |
|---|---|
| Doing Business As | MEADOW CITY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESLIE L LARRANAGA Office Manager 505-426-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01322) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2024-02-13 |