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 |