| NPI | 1568838944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA K BENTZ Clinic Administrator/Provider 505-890-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00238) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |