Fern S. Detsoi

NPI 1659565711 - Registered Nurse - 163W00000X

NPI Details
NPI 1659565711
Gender Female
Enumeration Date 08/31/2007
Last Updated 08/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
516 NIZHONI BLVD
GALLUP NM, 87301-5748, US
Phone (505) 722-1480
Fax (505) 722-1487
Business Location
PO BOX 1337
GALLUP NM, 87305-1337, US
Phone (505) 722-1480
Fax (505) 722-1487
Toxanomy
Taxonomy Code 163W00000X
License State New Mexico
License Number R17387
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According to our database, Fern S. Detsoi NPI is 1659565711, taxonomy code is 163W00000X and license number is R17387, license state is located at New Mexico. Fern S. Detsoi physically located at 516 Nizhoni Blvd, Gallup NM, 87301-5748. NPI Number Fern S. Detsoi has the Individual type.

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1659565711 NPI number is provided on an as is basis without warranty of any kind. 1659565711 is maintained by the National Plan & Provider Enumeration System. The contents of Fern S. Detsoi are for informational purposes only.