| NPI | 1598105991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA L ABOUSLEMAN Physician/Owner 505-312-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM MD2007-0213) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2018-06-09 |