ALICIA NICOLE PEACOCK

GALLUP, NM
NPI1811394828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NM  CNP-02574)
Enumeration Date2014-11-20
Last Update Date2015-09-11
Business Address
-- ALICIA NICOLE PEACOCK FNP
1850 EAST HWY 66
GALLUP, NM 87301
Phone number: 505-918-4602
Mailing Address
-- ALICIA NICOLE PEACOCK FNP
PO BOX 2956
FARMINGTON, NM 87401
Phone number: 505-918-4601
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