Individual
GEMENIA WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63163
NM
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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