| NPI | 1881071462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN OSUCHOWSKI-SANCHEZ Owner 505-398-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NM CNP00739) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2024-10-01 |