JUDY LIESVELD

GALLUP, NM
NPI1295707651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  R30234)
Enumeration Date2006-02-01
Last Update Date2007-07-09
Business Address
-- JUDY LIESVELD CNP
2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM 87301-5600
Phone number: 505-863-1820
Mailing Address
-- JUDY LIESVELD CNP
1901 REDROCK DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM 87301-5683
Phone number: 505-863-7000