| NPI | 1225517477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA L CAMPBELL Owner 575-494-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NM CNS00223) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |