| NPI | 1184332918 |
|---|---|
| Doing Business As | PRIDE CARE FOR ALL LLC |
| Entity Type | Organization |
| Authorized Contact | LESLIE DVORAK Owner 505-850-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-07-11 |