CARLA F LICH

SHIPROCK, NM
NPI1962491795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  R32973)
Enumeration Date2005-10-14
Last Update Date2008-01-03
Business Address
Ms. CARLA F LICH CDE CNP
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
Mailing Address
Ms. CARLA F LICH CDE CNP
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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