NPI | 1932645579 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA NICHOLE GUTIERREZ Owner 505-358-8468 |
Organization Subpart ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 2016342231) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-06 |