| NPI | 1447797758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNMILAYO AINA Family Nurse Practitioner 505-430-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX 688447) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: TX AP123182) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-09-08 |