Individual
LEVONIA ESTHER CELLICION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 NORTH SANDY SPRINGS RD, ZUNI, NM 87327-8732
(505) 870-3624
Mailing address
PO BOX 1460, ZUNI, NM 87327-1460
(505) 507-5720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53159
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408564
NMPED
NM
01
—
53159
NMBON
NM
Enumeration date
01/17/2022
Last updated
01/17/2022
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