Individual
TAWNI PETRUNGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 S COUNTY LINE DR, CHAPARRAL, NM 88081-7830
(575) 882-1018
Mailing address
PO BOX 70, ANTHONY, NM 88021-0070
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN265597
GA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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