Agnes Martinez Family Health Clinic
NPI #1205010881 in Mora, New Mexico
Provider Information
- NPI Number
- 1205010881
- Entity Type
- Organization
- Organization Name
- Agnes Martinez Family Health Clinic
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- STATE HIGHWAY 518 MILE MARKER 29
- City
- Mora
- State
- New Mexico
- ZIP Code
- 87732-0185
- Phone
- (505) 387-5503
Authorized Official
- Name
- MRS. MARY BUNKER, CNP
- Title
- OWNER
- Phone
- (505) 387-5503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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