| NPI | 1740331370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T CHAVEZ, MEDINA Health Services, Sbhc Coordinator 505-751-8032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: NM CL00010194) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |