Organization
PUEBLO OF ZUNI OPTICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANNY LATONE (PROGRAM MANAGER)
(505) 782-7198
Entity
Organization
Contact information
Practice address
1203B ST. HWY. 53, 1203B ST. HWY. 53, ZUNI, NM 87327-0339
(505) 782-7198
Mailing address
PO BOX 339, 1203B ST. HWY. 53, ZUNI, NM 87327-0339
(505) 782-7198
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
07/02/2007
Last updated
07/14/2008
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