Individual
NDEYE NDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N M.L.K. JR BLVD, CLOVIS, NM 88101
(575) 769-2141
Mailing address
2220 RALPH BOONE, CLOVIS, NM 88101-9027
(703) 347-3078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
57121
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127222
—
NM
Enumeration date
08/09/2019
Last updated
08/09/2019
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