SHASTA NICOLE WARD

GALLUP, NM
NPI1265064729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: FL  9351722)
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
SHASTA NICOLE WARD RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
SHASTA NICOLE WARD RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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