TRISTAN S BOLEN

GALLUP, NM
NPI1477820124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  755696)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
TRISTAN S BOLEN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1254
Mailing Address
TRISTAN S BOLEN RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1254