Organization · Type 2 NPI
Jicarilla Apache Nation
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dulce, NM
NPI number
1881020089
Active
Practice location
450 N Mundo Dr.
Dulce, NM 87528
Fax (575) 759-4471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1881020089
Jicarilla Apache Nation's National Provider Identifier is 1881020089, issued on Sep 19, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dulce, NM. The record was last updated on May 20, 2015.