| NPI | 1679764880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE LEON Medical Asst. 505-521-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 81-197) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-09-11 |