Provider First Line Business Practice Location Address:
1755 EL PASEO
Provider Second Line Business Practice Location Address:
LAS CRUCES HIGH SCHOOL - BASED HEALTH CENTER
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-527-9400
Provider Business Practice Location Address Fax Number:
575-527-9767
Provider Enumeration Date:
03/06/2009