Individual
SHIRLEY ANNA ARCHIBEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 SPARTAN ALLEY, BERNALILLO, NM 87004
(505) 404-5237
Mailing address
148 SPARTAN ALLEY, BERNALILLO, NM 87004
(505) 404-5237
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R24773
NM
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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