Individual
GAIL CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 4TH AVE, RATON, NM 87740-2643
(575) 445-2754
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 274-7337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12026
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L12026
NM BOARD OF NURSING
NM
Enumeration date
06/22/2017
Last updated
06/22/2017
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