| NPI | 1295158954 |
|---|---|
| Doing Business As | LA CLINICA |
| Entity Type | Organization |
| Authorized Contact | SHAUNA MICHELLE MCCOSH Owner 575-388-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM CNP01356) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: NM 588) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |