DOMINIQUE PUMMILL

ALBUQUERQUE, NM
NPI1609364249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM  CNP03564)
Enumeration Date2018-04-30
Last Update Date2018-04-30
Business Address
DOMINIQUE PUMMILL PMHNP
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102-3619
Phone number: 505-288-3173
Mailing Address
DOMINIQUE PUMMILL PMHNP
PO BOX 966
FAIRACRES, NM 88033-0966
Phone number: 575-805-0695