CHARLENE MICHELLE HAGEN

FARMINGTON, NM
NPI1306154463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  CNP-01673)
Enumeration Date2010-09-22
Last Update Date2010-09-22
Business Address
-- CHARLENE MICHELLE HAGEN CNP
622 W MAPLE ST SUITE B
FARMINGTON, NM 87401-6590
Phone number: 505-327-4867
Mailing Address
-- CHARLENE MICHELLE HAGEN CNP
622 W MAPLE ST SUITE B
FARMINGTON, NM 87401-6590
Phone number: 505-327-4867