| NPI | 1912486390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN SOLANO Owner 505-500-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 2003-0479) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-01-25 |