| NPI | 1306855093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUITO OSUNA CARR President 505-242-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |