Individual
LOVETA RAE BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-2851
Mailing address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-2851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006251
NM
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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