| NPI | 1366810970 |
|---|---|
| Doing Business As | OCOTILLO FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DAWN WULF Owner 575-914-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02765) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |