Provider First Line Business Practice Location Address:
ACOMA-ACOMA-LAGUNA HOSPITAL
Provider Second Line Business Practice Location Address:
EXIT 102 OFF HWY I-40
Provider Business Practice Location Address City Name:
SAN FIDEL
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-831-6300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2006