| NPI | 1851377667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ROWAN Nurse Practitioner 505-248-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: NM R29941) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-05-26 |