Individual
MRS. HEATHER CHRISTINE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4332 SANDSTONE DR, CLOVIS, NM 88101-1059
(575) 791-3869
Mailing address
4332 SANDSTONE DR, CLOVIS, NM 88101-1059
(575) 791-3869
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
69966
NM
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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