| NPI | 1225448665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTENE VANCOTT Owner 915-532-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NM 0371127) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |