| NPI | 1730852161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELISE LOPEZ Owner 575-621-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-08-02 |