| NPI | 1083035075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE CANDELARIA Registered Nurse 505-259-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |