Santa Clara Pueblo

NPI #1407147994 in Espanola, New Mexico

Provider Information

NPI Number: 1407147994
Entity Type: Organization
Organization Name: Santa Clara Pueblo
Primary Specialty: Counselor
Enumeration Date: May 2, 2011
Last Updated: May 2, 2011

Practice Location

Address: 360 FOG ROAD
City: Espanola
State: New Mexico
ZIP Code: 87532
Phone: (505) 753-7326

Authorized Official

Name: MR. JOSEPH BRUCE TAFOYA
Title: LT. GOVERNOR
Phone: (505) 753-7326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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