Individual
NANCY L LIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
999 E BASSE RD STE 180, SAN ANTONIO, TX 78209-1807
(210) 326-0406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
504977
TX
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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