NPI | 1689190357 |
---|---|
Doing Business As | CLINICA SIMPATICA |
Entity Type | Organization |
Authorized Contact | TRACY LANE BRADFIELD Owner/Provider 505-453-0958 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NM CNP-02695) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 1198) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2023-03-07 |