Individual
MRS. SHELBA MARLENE WASHICHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
505 W PINE LODGE RD, ROSWELL, NM 88201-9470
(575) 627-2500
Mailing address
4901 APACHE HILLS DR, ROSWELL, NM 88201-9489
(575) 420-1583
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R39665
NM
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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