| NPI | 1750922951 |
|---|---|
| Former Legal Business Name | FULL BLOOM THE SANTA FE BIRTH |
| Entity Type | Organization |
| Authorized Contact | MERIA L LOEKS Executive Director 505-820-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-11-04 |