| NPI | 1225426356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL CARO Family Nurse Practitioner 575-915-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM CS00219819) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |