| NPI | 1043561699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE EMERICK President / Owner 575-649-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM CNP01746) |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2012-09-23 |