Organization
PAULA S PRACTICE
Active
Other names
San Ysidro Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA M ENYEART CFNP (C0-DIRECTOR)
(505) 321-9935
Entity
Organization
Contact information
Practice address
348 STATE ROAD 4, SAN YSIDRO, NM 87053-0348
(505) 321-9935
(575) 289-2688
Mailing address
PO BOX 1629, CUBA, NM 87013-1629
(505) 321-9935
(575) 289-2688
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R31220
NM
Other
Enumeration date
07/20/2009
Last updated
12/22/2009
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