NPI | 1366697005 |
---|---|
Doing Business As | WOMEN'S CLINIC |
Entity Type | Organization |
Authorized Contact | DUANE E VANDERSLICE President 505-327-3634 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NM 83-134) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2008-11-21 |