| NPI | 1962989129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK NOEL MONTOYA Registered Nurse First Assistant 505-659-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-11-04 |