MICHAEL HENNELLY

JEMEZ PUEBLO, NM
NPI1871553933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: NM  75197)
Enumeration Date2006-03-24
Last Update Date2015-11-23
Business Address
-- MICHAEL HENNELLY md
110 SHEEP SPRINGS
JEMEZ PUEBLO, NM 87024-0279
Phone number: 575-834-7413
Mailing Address
-- MICHAEL HENNELLY md
PO BOX 279
JEMEZ PUEBLO, NM 87024-0279
Phone number: 575-834-7413