| NPI | 1578837472 |
|---|---|
| Doing Business As | NICHOLETTE DEVILBISS |
| Entity Type | Organization |
| Authorized Contact | NICHOLETTE A DEVILBISS Owner 505-947-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |