| NPI | 1285057273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE G MCTASNEY Owner 505-204-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2016-05-16 |