| NPI | 1083090419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODICA CARMEN BROWN Owner 505-304-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM PA2002-0030) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |