Provider First Line Business Practice Location Address:
608 S. ST. VRAIN
Provider Second Line Business Practice Location Address:
CENTRO DE SALUD FAMILIAR LA FE, INC.
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79901-2176
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-534-7979
Provider Business Practice Location Address Fax Number:
915-534-7601
Provider Enumeration Date:
12/24/2008