Organization
CUBA INDEPENDENT SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA R CRESPIN (MEDICAID COORDINATOR)
(505) 289-3211
Entity
Organization
Contact information
Practice address
# 50 COUNTY ROAD. 13, CUBA, NM 87013-0070
(505) 289-3211
(505) 289-0437
Mailing address
# 50 COUNTY ROAD. 13, P.O. BOX 70, CUBA, NM 87013-0070
(505) 289-3211
(505) 289-0437
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
10/15/2008
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