NPI | 1962714410 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA LEE CYPHERT Owner 575-769-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 0383007) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2010-07-21 |