NPI | 1407035124 |
---|---|
Doing Business As | CLINIMED WALK-IN |
Entity Type | Organization |
Authorized Contact | DONALD MERLE HATHAWAY Owner 505-345-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R 14825) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2007-10-30 |