| NPI | 1760905020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LARREA DE ARELLANO Registered Agent 505-204-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NM 17167) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |