Individual
TOMASITA SEDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 118TH ST SW, ALBUQUERQUE, NM 87121
(505) 253-0300
(505) 873-1723
Mailing address
10629 GENTRY LN SW, ALBUQUERQUE, NM 87121-3687
(505) 227-9332
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-74239
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-74239
NURSING LICENSE
NM
Enumeration date
10/31/2018
Last updated
10/31/2018
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