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Individual

VIVIANA NUNEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, CANNON AFB, NM 88103
(575) 784-2778
Mailing address
224 W D. L. INGRA, CLOVIS, NM 88101-8529

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
80831
NM

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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