| NPI | 1992514822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE N VIALPANDO Managing Member/ Owner 719-290-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |