Individual
GEORGE ERIC WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-6069
Mailing address
1339 DUSKFIRE DR NW, ALBUQUERQUE, NM 87120-5553
(505) 839-4090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R39756
NM
Other
Enumeration date
03/21/2006
Last updated
03/31/2011
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