Organization
ESPANOLA VALLEY HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID COCKERHAM (SUPERINTENDENT)
(505) 753-2254
Entity
Organization
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 367-3420
Mailing address
RR 4 BOX 200-4, HERNANDEZ, NM 87537-9719
(505) 753-7844
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN # R39189
NM
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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