| NPI | 1982163267 |
|---|---|
| Doing Business As | NM SPIRIT OF WELLNESS LC |
| Entity Type | Organization |
| Authorized Contact | JEANNETT MARTINEZ CEO 505-264-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-10-20 |