| NPI | 1376464594 |
|---|---|
| Other Name | NEW MEXICO WIC PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MICHELLE D CISNEROS Medicaid Managed Care Contracts 505-623-1256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2026-07-23 |
| Last Update Date | 2026-07-30 |