| NPI | 1720469679 |
|---|---|
| Doing Business As | SANTA TERESA CHILDREN'S NIGHT CLINIC |
| Entity Type | Organization |
| Authorized Contact | TANYA VERONICA MARIN Pediatric Nurse Practitioner/ Owner 575-332-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |