Provider First Line Business Practice Location Address:
2905 RODEO PARK DR E BLDG 3
Provider Second Line Business Practice Location Address:
SANTE FE SOUL HEALTH AND HEALING CENTER
Provider Business Practice Location Address City Name:
SANTA FE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87505-6313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-474-8885
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2012