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 |