LAWANDA T JIM

SHIPROCK, NM
NPI1821256900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  MD2012-0721)
Enumeration Date2008-05-27
Last Update Date2013-02-13
Business Address
-- LAWANDA T JIM
US HWY 491 N
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
-- LAWANDA T JIM
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: