KADALLAH ZIZWEE BRANDY

GALLUP, NM
NPI1689839482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  46860)
Enumeration Date2008-07-22
Last Update Date2011-08-15
Business Address
-- KADALLAH ZIZWEE BRANDY
516 EAST NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
Mailing Address
-- KADALLAH ZIZWEE BRANDY
P.O. BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000