| NPI | 1053510891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE SUZANNE SEELINGER Pharmacist 505-268-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM RP00006057) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |