| NPI Details | |
|---|---|
| NPI | 1104954528 |
| Enumeration Date | 02/28/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JOSH T JOSH |
| Position | EMS CAPTAIN |
| Phone | (505) 586-0250 |
| Fax | |
| Practice Location | |
|---|---|
| 2463 HWY 522 QUESTA NM, 87556, US |
|
| Phone | (505) 586-0250 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 854 QUESTA NM, 87556, US |
|
| Phone | (505) 586-0250 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 3416L0300X |
| License State | New Mexico |
| License Number | 54294 |
| Remove 1104954528 NPI Number | |
According to our database, Village Of Questa N Mex NPI is 1104954528, taxonomy code is 3416L0300X and license number is 54294, license state is located at New Mexico. Village Of Questa N Mex physically located at 2463 Hwy 522, Questa NM, 87556. NPI Number 1033115704 has the healthcare provider type.
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1104954528 NPI number is provided on an as is basis without warranty of any kind. 1104954528 is maintained by the National Plan & Provider Enumeration System. The contents of Village Of Questa N Mex are for informational purposes only.
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