NPI | 1306116793 |
---|---|
Doing Business As | TAMMY KING |
Entity Type | Organization |
Authorized Contact | TAMMY KING Owner 575-751-1565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NM 635) |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-01-03 |