| NPI | 1962632646 |
|---|---|
| Doing Business As | DZILTH NA O DITH HLE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | FANNESSA COMER CEO 505-368-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |