ANNETTE A MIYAMOTO

T OR C, NM
NPI1073078853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NM  L15727)
Enumeration Date2019-02-05
Last Update Date2019-02-05
Business Address
ANNETTE A MIYAMOTO LPN
180 N DATE ST
T OR C, NM 87901-2810
Phone number: 575-894-8372
Mailing Address
ANNETTE A MIYAMOTO LPN
1321 E POPLAR ST
DEMING, NM 88030-4807
Phone number: 575-546-5951