Individual
CIERRA DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 QUAIL TRL, EDGEWOOD, NM 87015-7185
(505) 208-0204
Mailing address
1862 PECOS HWY, LOVING, NM 88256-9725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61187
NM
Other
Enumeration date
09/28/2020
Last updated
03/05/2024
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