| NPI | 1285731414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENYA REESE Owner 505-983-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175M00000X Midwife, Lay (Licence: NM 80021R) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM 83-PA013) |
| 207Q00000X Family Medicine (Licence: NM 97382) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-23 |