Organization
SAN JUAN COLLEGE
Active
Organization
SAN JUAN COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSE BUCHANAN AG-NP-C (HEALTH CENTER DIRECTOR)
(505) 566-3313
Entity
Organization
Contact information
Practice address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4699
(505) 566-4255
(505) 566-3770
Mailing address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4699
(505) 566-4255
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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