Individual
SHONDA WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 S 6TH, LOVING, NM 88256
(575) 745-2077
Mailing address
PO BOX 98, LOVING, NM 88256-0098
(575) 745-2077
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-76814
NM
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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