Provider First Line Business Practice Location Address:
7900 S. J STOCK ROAD
Provider Second Line Business Practice Location Address:
SAN XAVIER HEALTH CENTER, INDIAN HEALTH SERVICES
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-295-2481
Provider Business Practice Location Address Fax Number:
520-295-2615
Provider Enumeration Date:
05/06/2010