| NPI | 1730572926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA BARRAGAN Business Office Manager 575-388-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 403) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2018-03-06 |