| NPI | 1992878664 |
|---|---|
| Former Legal Business Name | FAMILY CARE SPECIALISTS, PROF LLC |
| Entity Type | Organization |
| Authorized Contact | NANCY LOUISE MOYA Owner 719-543-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 38366) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-02-16 |