Organization
WEST LAS VEGAS SCHOOL BASED HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA CARRILLO (COORDINATOR)
(505) 426-2564
Entity
Organization
Contact information
Practice address
1024 SOUTH PACIFIC, LAS VEGAS, NM 87701
(505) 426-2564
(505) 426-2579
Mailing address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2564
(505) 426-2579
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
261QS1000X
NM
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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