Provider First Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO, MSC 09 5030
Provider Second Line Business Practice Location Address:
CENTER FOR NEUROPSYCHOLOGICAL SVCS, DEPT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87131-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-925-6061
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2009