Individual
CAINE WILSON COONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 772-1000
Mailing address
900 BOARDMAN DR APT I91, GALLUP, NM 87301-4748
(208) 316-3508
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
N-50447
ID
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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