Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-06-12
- Last updated
- 2008-06-11
Specialties
Licenses
- License NM
- 1540
Location
- Practice location
- 401 ACOMA
- City
- TAOS NM
- Postal code
- 87571
- Phone
- 505-770-1660
Organization contact
- Name
- SUSAN HILLIKER
- Title
- President
- Phone
- 5057701660
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.