Provider First Line Business Practice Location Address:
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87131-9654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-692-6068
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2010