Provider First Line Business Practice Location Address:
818 CAMINO SIERRA VISTA
Provider Second Line Business Practice Location Address:
LA FAMILIA MEDICAL CENTER-HEALTHCARE FOR THE HOMELESS
Provider Business Practice Location Address City Name:
SANTA FE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-988-1742
Provider Business Practice Location Address Fax Number:
505-988-2184
Provider Enumeration Date:
04/18/2007