| NPI | 1326885039 |
|---|---|
| Doing Business As | PELLE SPA |
| Entity Type | Organization |
| Authorized Contact | ANNETTE LOUISE RANDLEMON Owner 505-320-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |