Individual
SELVA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1394
Mailing address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1394
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
R25065
NM
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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