MICHAEL SERVILLA

RIO RANCHO, NM
NPI1992787824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP000487)
Enumeration Date2005-11-16
Last Update Date2016-12-22
Business Address
-- MICHAEL SERVILLA CFNP
1001 NM 528 SE CVS/MINUTECLINIC
RIO RANCHO, NM 87124
Phone number: 866-389-2727
Mailing Address
-- MICHAEL SERVILLA CFNP
14 SUMPTION RD
SANDIA PARK, NM 87047-9456
Phone number: 505-407-4855
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