Individual
URSULA MICHAEL GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 STONE LAKE ROAD, DULCE, NM 87528
(575) 759-3291
(575) 759-7294
Mailing address
12000 STONE LAKE ROAD, DULCE, NM 87528
(575) 759-3291
(575) 759-7294
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A026173
SD
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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