Individual
CAROL ESQUIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 LIPAN AVE, MESCALERO, NM 88340
(575) 464-4802
Mailing address
PO BOX 359, MESCALERO, NM 88340-0359
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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