| NPI | 1740620327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ANN PEREA-MAES Proprietor 505-897-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NM FA0005635) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-11-05 |