Pueblo of Jemez
NPI #1417082215 in Jemez Pueblo, New Mexico
Provider Information
- NPI Number
- 1417082215
- Entity Type
- Organization
- Organization Name
- Pueblo of Jemez
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 110 SHEEP SPRINGS WAY
- City
- Jemez Pueblo
- State
- New Mexico
- ZIP Code
- 87024
- Phone
- (575) 834-7413
Authorized Official
- Name
- NOHEMY ROSALES
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (575) 834-3187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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