Individual
MS. DEYVONNA ALLISON GACHUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
110 SHEEPSPRINGS RD, JEMEZ PUEBLO, NM 87024
(505) 834-0130
(505) 834-3081
Mailing address
7161 HUSKY DR NE, RIO RANCHO, NM 87144-7729
(505) 235-6084
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00001214
NM
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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