Individual
AMANDA LEIGH GOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
423 MAIN ST SE, LOS LUNAS, NM 87031-7416
(505) 866-8430
Mailing address
944 LUNA HILL AVE SE, LOS LUNAS, NM 87031-6254
(505) 866-8430
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-72227
NM
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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