Organization
DAVID ESTABILLO LLC
Active
Other names
Advanced Practice Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ESTABILLO CNP (OWNER)
(954) 655-3570
Entity
Organization
Contact information
Practice address
2000 W 21ST ST STE E3, CLOVIS, NM 88101-4093
(954) 655-3570
Mailing address
PO BOX 1161, CLOVIS, NM 88102-1161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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