| 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 |