Provider First Line Business Practice Location Address:
530 N TELSHOR . STE. C
Provider Second Line Business Practice Location Address:
LAS CRUCES QUICK CARE
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-532-2004
Provider Business Practice Location Address Fax Number:
575-532-2441
Provider Enumeration Date:
10/31/2005