Paula S Practice
NPI #1053541409 in San Ysidro, New Mexico
Provider Information
- NPI Number
- 1053541409
- Entity Type
- Organization
- Organization Name
- Paula S Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 20, 2009
- Last Updated
- Dec 22, 2009
Practice Location
- Address
- 348 STATE ROAD 4
- City
- San Ysidro
- State
- New Mexico
- ZIP Code
- 87053-0348
- Phone
- (505) 321-9935
Authorized Official
- Name
- MS. PAULA M ENYEART, CFNP
- Title
- C0-DIRECTOR
- Phone
- (505) 321-9935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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