| NPI | 1265056337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA A WINTERS Certified Surgical First Assistant 505-400-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |