Individual
ABDIEL LATORRE MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD,GALLUP, GALLUP, NM 87301
(505) 722-1000
Mailing address
516 E NIZHONI BLVD,GALLUP, NAVAJO, NM 87301
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81866
PR
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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