Individual
ALIINA CECILIA RADCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
US HWY 64 OLD HIGH SCHOOL RD, SHIPROCK, NM 87420-8742
(505) 368-5163
(505) 368-5502
Mailing address
PO BOX 1199, SHIPROCK, NM 87420-1199
(505) 368-5163
(505) 368-5502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R50556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487798567
—
NM
Enumeration date
09/09/2019
Last updated
09/09/2019
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