Individual
ARJAY LAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
8200 SOUTHWESTERN BLVD APT 2003, DALLAS, TX 75206-2161
(606) 226-6272
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
867130
TX
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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