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Organization

SAN JUAN HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA A WELLS RN (DIRECTOR)
(505) 564-8200
Entity
Organization

Contact information

Practice address
301 SOUTH LAKE, FARMINGTON, NM 87401
(505) 564-8200
(505) 599-1838
Mailing address
950 WEST PINON, FARMINGTON, NM 87401
(505) 564-8200
(505) 599-1838

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
246QH0600X
Histology Specialist/Technologist
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/06/2011
Last updated
06/19/2017
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