Individual
MRS. LIA CHASE COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
5405 HAYES DR NW, ALBUQUERQUE, NM 87120-2253
(505) 331-0181
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN-84677
NM
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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