Individual
ROCHELLE L SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
HC 63 BOX 41, MONTICELLO, UT 84535
(435) 459-9322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10189107-3102
UT
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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