Individual
MR. ROBIN NICOLY MENDIOLA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
CORNER OF ROUTE 7 AND ROUTE 12, GALLUP, AZ 86504
(910) 670-0610
Mailing address
1114 MARTINELLI DR, GALLUP, NM 87301-4910
(910) 670-0610
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
976204
TX
Other
Enumeration date
12/08/2022
Last updated
07/12/2024
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