| NPI | 1982541330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA DEANNE RADOSEVICH President 505-456-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-06-05 |