| NPI | 1407171408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER W.H. CHAN Owner/Sole Member 505-842-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NM MD2007-0451) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2015-04-15 |