| NPI | 1669850707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBRA WILLIAMS Program Coordinator 505-272-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |