Individual
MS. TAIWO T EGBETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2406 WILDWIND RD, LAS CRUCES, NM 88007-5503
(800) 831-5105
Mailing address
2406 WILDWIND RD, LAS CRUCES, NM 88007-5503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58514
NM
Other
Enumeration date
06/05/2023
Last updated
01/24/2024
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