Provider First Line Business Practice Location Address:
RT 301 NORTH B ST
Provider Second Line Business Practice Location Address:
US DHHS INDIAN HEALTH SERVICE
Provider Business Practice Location Address City Name:
ZUNI
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87327-0467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-782-4431
Provider Business Practice Location Address Fax Number:
505-782-7551
Provider Enumeration Date:
05/03/2006