| NPI | 1578558235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEN SARTORIUS Owner 505-471-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 79-266) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-08-22 |