| NPI | 1760612568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY J VALDEZ President/CEO 505-821-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NM MD2006-0083) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM R35692) |
| 174400000X Specialist (Licence: NM 5384) | |
| 174400000X Specialist (Licence: NM 5075) | |
| 174400000X Specialist (Licence: NM 3703) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2012-12-31 |