Provider First Line Business Practice Location Address:
MSC06 3870 1 UNIVERSITY OF NEW MEXICO
Provider Second Line Business Practice Location Address:
UNM STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87131-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-277-3136
Provider Business Practice Location Address Fax Number:
505-277-5668
Provider Enumeration Date:
11/20/2006