Individual
MISS KELLI DALE AVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2220 N GRIMES ST, HOBBS, NM 88240-2716
(575) 393-1576
Mailing address
2220 N GRIMES ST, HOBBS, NM 88240-2716
(575) 393-1576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00007763
NM
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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