| NPI | 1427118926 |
|---|---|
| Doing Business As | HEAVENLY HEALTH FNP |
| Entity Type | Organization |
| Authorized Contact | GEORGES DUVAL Vice President 505-722-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-11-08 |