Organization
REGION IX EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN SANCHEZ (MEDICAID TECHNICIAN)
(575) 257-2368
Entity
Organization
Contact information
Practice address
237 SERVICE RD, RUIDOSO, NM 88345-6063
(575) 257-2368
(575) 257-2141
Mailing address
237 SERVICE RD, RUIDOSO, NM 88345-6063
(575) 257-2368
(575) 257-2141
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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