| NPI | 1083388235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LOUISE WAMEL Owner 575-496-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |