Mamie Denetclaw RN, CDE

NPI 1679766463 - Registered Nurse - 163WC0400X

NPI Details
NPI 1679766463
Gender Female
Enumeration Date 08/24/2007
Last Updated 08/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
US HWY 491 NORTH
SHIPROCK NM, 87420, US
Phone (505) 368-6401
Fax (505) 368-6431
Business Location
PO BOX 160
SHIPROCK NM, 87420-0160, US
Phone (505) 368-6401
Fax (505) 368-6431
Toxanomy
Taxonomy Code 163WC0400X
License State New Mexico
License Number R26082
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According to our database, Mamie Denetclaw RN, CDE NPI is 1679766463, taxonomy code is 163WC0400X and license number is R26082, license state is located at New Mexico. Mamie Denetclaw RN, CDE physically located at Us Hwy 491 North, Shiprock NM, 87420. NPI Number Mamie Denetclaw RN, CDE has the Individual type.

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1679766463 NPI number is provided on an as is basis without warranty of any kind. 1679766463 is maintained by the National Plan & Provider Enumeration System. The contents of Mamie Denetclaw RN, CDE are for informational purposes only.