Individual
IRENE PETERS-MONTROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(505) 722-1310
Mailing address
1606 KIVA DR, GALLUP, NM 87301-5733
(505) 726-8704
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R54402
NM
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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