VIRGINIA GUSTAFSON

GALLUP, NM
NPI1083019285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NM  RN-75942)
Enumeration Date2014-10-30
Last Update Date2014-10-30
Business Address
-- VIRGINIA GUSTAFSON
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- VIRGINIA GUSTAFSON
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000