Individual
WENDY LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(505) 722-1310
Mailing address
PO BOX 956, THOREAU, NM 87323-0956
(505) 862-0137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001195787
VA
Other
Enumeration date
07/14/2008
Last updated
12/23/2011
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