| NPI | 1508665563 |
|---|---|
| Doing Business As | DESERT BLOOM DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAYCE RODRIGUEZ Owner/Provider 575-243-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-04-01 |