| NPI | 1639523699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA S CHAVIRA Registered Cosmetologist 505-516-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM co039083) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |