TARVIS COPELAND

FARMINGTON, NM
NPI1013655851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NC  GA056BIC)
Enumeration Date2022-05-23
Last Update Date2022-05-23
Business Address
TARVIS COPELAND LPN
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
Mailing Address
TARVIS COPELAND LPN
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
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