NPI | 1689804387 |
---|---|
Doing Business As | FOUR CORNERS REGIONAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | FANNESSA COMER CEO 505-368-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 03D1068558) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2009-07-16 |