OLOWAN D DEHERRERA

SAN FIDEL, NM
NPI1447410196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: NM  R64117)
Enumeration Date2008-06-16
Last Update Date2008-06-16
Business Address
-- OLOWAN D DEHERRERA RN
I-40 EXIT 102 ACL PHS INDIAN HOSPITAL
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5324
Mailing Address
-- OLOWAN D DEHERRERA RN
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5324
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