| NPI | 1275909871 |
|---|---|
| Doing Business As | NMSU HEARING CENTER |
| Entity Type | Organization |
| Authorized Contact | MARLENE SALAS-PROVANCE Executive Director 575-646-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NM 6545) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |