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Individual

MS. ALEC J'DAN POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
315 S. HUDSON STE #6, SILVER CITY, NM 88061
(575) 388-4412
(575) 534-1170
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN-78019
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
Enumeration date
04/07/2014
Last updated
04/07/2014
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