| NPI | 1245674712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI EATON Patient Account Manager 575-627-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: LD-0882) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |