| NPI | 1922696624 |
|---|---|
| Doing Business As | VIVIAN ELIZABETH |
| Entity Type | Organization |
| Authorized Contact | VIVIANELIZABETH MARQUEZDELAGARZA Owner 505-339-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |