| NPI | 1629792247 |
|---|---|
| Other Name | ENCHANTMENT CONCIERGE FAMILY PRACTICE KRISTA GURULE CFN-P LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTA J GURULE Np C Owner 505-681-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |