| 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 |