| NPI | 1730141508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. STEPHEN AGUIRRE Executive Director 505-445-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |