Provider First Line Business Practice Location Address:
NEW MEXICO VA HEALTH CARE SYSTEM
Provider Second Line Business Practice Location Address:
1501 SAN PEDRO DRIVE, SE
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-265-1711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2007