ISMARIE RIVERA- MCLAT

GALLUP, NM
NPI1730363359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: PR  22471)
Enumeration Date2007-12-18
Last Update Date2007-12-18
Business Address
-- ISMARIE RIVERA- MCLAT
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- ISMARIE RIVERA- MCLAT
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000