Individual
ISABEL MARIE MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-2554
Mailing address
2850 HICKORY ST N, FARGO, ND 58102-1715
(701) 799-1838
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R17375
ND
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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