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Jicarilla Apache Nation
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dulce, New Mexico
NPI 1881020089

Jicarilla Apache Nation is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Dulce, NM and is specialized in End-Stage Renal Disease (ESRD) Treatment. Jicarilla Apache Nation practices in Dulce, NM. The NPI Number for Jicarilla Apache Nation is 1881020089 and holds a License No. (New Mexico).

The current practice location address for Jicarilla Apache Nation is 450 N Mundo Dr., Dulce, NM and can be reached out via phone at 575-759-4206 and via fax at 575-759-4471.

Location: 450 N Mundo Dr., Dulce, NM, 87528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881020089
Provider Name
Jicarilla Apache Nation
Credential
Provider Entity Type
Organization
Address
450 N Mundo Dr., Dulce, NM, 87528
Phone Number
575-759-4206
Fax Number
575-759-4471
Provider Enumeration Date
09/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
450 N Mundo Dr.
City
Dulce
State
New Mexico
Zip
87528
Phone Number
575-759-4206
Fax Number
575-759-4471
person
Provider Business Mailing Address Details
Address
450 N Mundo Dr.
City
Dulce
State
New Mexico
Zip
87528
Phone Number
575-759-4206
Fax Number
575-759-4471
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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