Provider First Line Business Practice Location Address:
NEW MEXICO STATE UNIVERSITY STUDENT HEALTH CENTER
Provider Second Line Business Practice Location Address:
MSC 3529 BOX 300001
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88003-8001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-646-6510
Provider Business Practice Location Address Fax Number:
505-646-6428
Provider Enumeration Date:
12/18/2006