Individual
SHIRLEY HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
HC 72 BOX 257, RIBERA, NM 87560-9666
(575) 421-0219
Mailing address
HC 72 BOX 257, RIBERA, NM 87560-9666
(575) 421-0219
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R17294
NM
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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