Individual
MRS. SHAFFONE TALKALAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 BASILEO DR, GALLUP, NM 87301-4655
(505) 721-1833
Mailing address
210 VIRO CIR, GALLUP, NM 87301-6638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN84277
NM
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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