| NPI | 1598308801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TAFOYA TRUJILLO Owner 505-249-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-12-20 |