Organization · Type 2 NPI
Santo Domingo Tribe
Land Ambulance · Santo Domingo Pueblo, NM
NPI number
1679766489
Active
Practice location
#1 Tesuque St., Ems Headquarters
Santo Domingo Pueblo, NM 87052
Fax (505) 465-2688
Mailing address
PO Box 99
Santo Domingo Pueblo, NM 87052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | None listed |
Land Ambulance: Definition to come...
About NPI 1679766489
Santo Domingo Tribe's National Provider Identifier is 1679766489, issued on Aug 24, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Santo Domingo Pueblo, NM. The record was last updated on Jul 31, 2009.