Pueblo of Laguna
NPI #1932267259 in Paraje, New Mexico
Provider Information
- NPI Number
- 1932267259
- Entity Type
- Organization
- Organization Name
- Pueblo of Laguna
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Oct 22, 2009
Practice Location
- Address
- 5 BLUE STAR LOOP
- City
- Paraje
- State
- New Mexico
- ZIP Code
- 87007
- Phone
- (505) 552-1102
Authorized Official
- Name
- MR. MILES KING
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (505) 552-5779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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