Provider First Line Business Practice Location Address:
PMS-QUESTA HEALTH CENTER
Provider Second Line Business Practice Location Address:
2573 STATE HWY522
Provider Business Practice Location Address City Name:
QUESTA
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87566-0290
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-586-0331
Provider Business Practice Location Address Fax Number:
575-586-0519
Provider Enumeration Date:
02/28/2019