LA CLINICA DE LA RAZA INC

Case Manager/Care Coordinator

Code: 171M00000X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X

Clinic/Center — Radiology

Code: 261QR0200X

Clinical Medical Laboratory

Code: 291U00000X

Pharmacy — Clinic Pharmacy

Code: 3336C0002X