Individual
MS. CHARLENE NICOLETTE GABALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
01 SAGEBRUSH, ISLETA, NM 87022
(505) 869-3200
(505) 869-4881
Mailing address
PO BOX 640, ISLETA, NM 87022-0640
(505) 869-4866
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
R42860
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R42860
LICENSE
NM
Enumeration date
09/19/2019
Last updated
10/18/2019
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