NPI | 1699079459 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA MARIE MUNOZ Owner 575-538-0842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NM CNP00203) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-01-07 |