| NPI | 1154785640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN PATRICIA LEWIS CEO 505-414-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |