SHANA LYNN SAM

GALLUP, NM
NPI1467936518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP2201X Registered Nurse, Ambulatory Care
(Licence: NM  r57365)
Enumeration Date2018-09-24
Last Update Date2018-09-24
Business Address
SHANA LYNN SAM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
SHANA LYNN SAM
PO BOX 353
CHURCH ROCK, NM 87311-0353
Phone number: 505-879-7165
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