NPI | 1679875926 |
---|---|
Entity Type | Organization |
Authorized Contact | OKAY HAROLD ODOCHA Owner 575-956-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NM MD2009-0004) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2018-11-30 |