| NPI | 1871876607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GURULE Credentialing Corrdinator 505-474-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: NM CNP00739) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |