| 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 | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |