Individual
CAMIE RENEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 BISHOP DRIVE, GALLUP, NM 87301
(505) 297-4949
Mailing address
PO BOX 1173, SANDERS, AZ 86512-1173
(505) 297-4949
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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