Individual
PATRICIA FAYE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
Mailing address
5 ROAD 2794, AZTEC, NM 87410-2439
(505) 592-4092
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L19924
NM
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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