| NPI | 1134304389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE A GUERRERO Owner 575-382-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 85-39) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2009-03-24 |