Individual
MS. MELISSA LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E. NIZHONI BLVD, GALLUP, NM 87301-1337
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN-77204
NM
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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