Provider First Line Business Practice Location Address:
CROWNPOINT HEALTHCARE FACILITY
Provider Second Line Business Practice Location Address:
JUNCTION RD. 371 ROUTE 9
Provider Business Practice Location Address City Name:
CROWNPOINT
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-2111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2021