| NPI | 1588379796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE LEON Practice Manager 575-644-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |