| NPI | 1700949088 |
|---|---|
| Doing Business As | DOH DDSD CSB SPECIALTY SEATING CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY THORNE-LEHMAN Deputy Director, Doh 505-827-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NM 03-069100-00-1) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-05-10 |