NPI | 1831364694 |
---|---|
Doing Business As | NORMA MORENO |
Entity Type | Organization |
Authorized Contact | NORMA MORENO Owner/Caretaker 915-256-3462 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX PENDING) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |