Acoma Canoncito Laguna Indian

NPI #1649462532 in San Fidel, New Mexico

Provider Information

NPI Number: 1649462532
Entity Type: Organization
Organization Name: Acoma Canoncito Laguna Indian
Primary Specialty: Ambulance
Enumeration Date: Aug 14, 2007
Last Updated: Jan 11, 2012

Practice Location

Address: EXIT 102 OFF I-40 1/2 MI SOUTH
City: San Fidel
State: New Mexico
ZIP Code: 87049-0130
Phone: (505) 552-5385

Authorized Official

Name: BARBARA FELIPE
Title: ACL IHS CEO
Phone: (505) 552-5303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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