| NPI | 1912267493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL CARMONA Owner/Manager 575-397-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |