NPI | 1972528891 |
---|---|
Doing Business As | VDEX DIABETES |
Entity Type | Organization |
Authorized Contact | AMBER BRYANT Executive Administrator 575-488-2720 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 98-288) |
261Q00000X Clinic/Center | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2024-11-14 |