| NPI | 1083305510 |
|---|---|
| Doing Business As | SAN JOSE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MAYEDEL SAN JOSE Owner 575-332-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-10-31 |