| NPI | 1467213397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIA ESPERANZA MALDONADO PEREZ Member 505-977-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |