| NPI | 1407675374 |
|---|---|
| Doing Business As | FIRST NATIONS COMMUNITY HEALTHSOURCE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | LINDA STONE CEO 505-262-6543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |