NPI | 1336978212 |
---|---|
Doing Business As | RWA, LLC |
Entity Type | Organization |
Authorized Contact | DARLENE NICKOL GONZALES Nurse Practitioner/Owner 505-270-4255 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-07-30 |
Last Update Date | 2024-10-08 |