Provider First Line Business Practice Location Address:
EL CENTRO FAMILY HEALTH
Provider Second Line Business Practice Location Address:
2010 INDUSTRIAL PARK RD.
Provider Business Practice Location Address City Name:
ESPANOLA
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-753-7218
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2016