KIDSBRIDGE

LOS RANCHOS, NM
NPI1740556893
Entity TypeOrganization
Authorized ContactKRISTEN S WIESE
Owner / Operator
505-908-0717
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: NM  2414)
Enumeration Date2012-03-22
Last Update Date2012-03-22
Business Address
KIDSBRIDGE
608 BLEDSOE RD NW
LOS RANCHOS, NM 87107-6219
Phone number: 505-908-0717
Mailing Address
KIDSBRIDGE
1104 SALAMANCA ST NW
LOS RANCHOS, NM 87107-5626
Phone number: 505-908-0717
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