Individual
PATRICIA A. SHEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1525
Mailing address
BOX 1337, 516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
539
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60226773
—
NM
Enumeration date
08/04/2006
Last updated
04/11/2008
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