Individual
SHARLEE ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 LA JARA ST, BLOOMFIELD, NM 87413-6626
(505) 634-3891
Mailing address
310 LA JARA ST, BLOOMFIELD, NM 87413-6626
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-86089
NM
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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