CLEVEN ISIDOR

LOS LUNAS, NM
NPI1174080626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: NM  RN-83283)
Enumeration Date2019-02-20
Last Update Date2019-02-20
Business Address
CLEVEN ISIDOR
454 CORONADO ST NE
LOS LUNAS, NM 87031-8709
Phone number: 505-866-0456
Mailing Address
CLEVEN ISIDOR
1331 PONDEROSA AVE NW
ALBUQUERQUE, NM 87107-3357
Phone number: 845-553-4207
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