MELISSA Y WYACO

SAN FIDEL, NM
NPI1851584213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: NM  R29030)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NM  R29030)
Enumeration Date2007-08-20
Last Update Date2007-08-20
Business Address
Ms. MELISSA Y WYACO RN
I-40 EXIT 102
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5324
Mailing Address
Ms. MELISSA Y WYACO RN
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5324
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