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Organization

CHILDREN'S MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOLANDA SISNEROS (STATEWIDE CLINIC COORDINATOR)
(505) 476-8863
Entity
Organization

Contact information

Practice address
2040 S PACHECO ST, SANTA FE, NM 87505-5472
(505) 476-8863
(505) 476-8896
Mailing address
2040 S PACHECO ST, SANTA FE, NM 87505-5472
(505) 476-8863
(505) 476-8896

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10887831
NM
05
46441
NM
05
46789
NM
05
48157
NM
05
48264
NM
05
E7576
NM
Enumeration date
05/16/2007
Last updated
08/22/2020
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