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Individual

ROD SORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
800 EAST NINTH AVENUE, SIERRA VISTA HOSPITAL, TRUTH OR CONSEQUENCES, NM 87901
(575) 894-2111
(575) 894-7659
Mailing address
800 EAST NINTH AVENUE, SIERRA VISTA HOSPITAL, TRUTH OR CONSEQUENCES, NM 87901
(575) 894-2111
(575) 894-7659

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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