Provider First Line Business Practice Location Address:
CENTER FOR NEUROPSYCHOLOGICAL
Provider Second Line Business Practice Location Address:
MSC09 5030-1 UNM
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:
505-272-8833
Provider Business Practice Location Address Fax Number:
505-272-8316
Provider Enumeration Date:
06/26/2012