Individual
MR. DAVID JAY HODGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1091 W MURRAY DR, FARMINGTON, NM 87401-3887
(505) 324-6200
Mailing address
816 SHADY LN, FARMINGTON, NM 87401-5456
(505) 326-1972
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
R54298
NM
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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