Organization
EL CENTRO FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILLE MONTOYA (CHIEF OPERATIONS OFFICER)
(505) 753-7218
Entity
Organization
Contact information
Practice address
620 N. CORONADO STREET, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Mailing address
620 N. CORONADO STREET, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01740
NM
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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