| NPI | 1962942128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN AYERS Family Nurse Practitioner 575-513-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NM CNP-03066) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |