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 |