Pueblo of Jemez
NPI #1477676567 in Jemez Pueblo, New Mexico
Provider Information
- NPI Number
- 1477676567
- Entity Type
- Organization
- Organization Name
- Pueblo of Jemez
- Primary Specialty
- Clinic/Center - Public Health, Federal
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 110 SHEEPSPRINGS WAY
- City
- Jemez Pueblo
- State
- New Mexico
- ZIP Code
- 87024
- Phone
- (575) 834-0130
Authorized Official
- Name
- NOHEMY ROSALES
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (575) 834-3187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, Federal — Public Health, Federal |
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