NPI | 1992481741 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE SARAH CLINTON Nurse Practitioner 505-385-8067 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |