Provider First Line Business Practice Location Address:
1503 UNIVERSITY NE
Provider Second Line Business Practice Location Address:
OUTCOMES INC
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-243-2551
Provider Business Practice Location Address Fax Number:
505-243-0446
Provider Enumeration Date:
11/14/2006