Individual
DENICE BOBELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301
(505) 722-1000
Mailing address
P.O. BOX 1337, GALLUP, NM 87301
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R62671
NM
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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