Individual
LORETTA LUCY BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
132 N COLLISON AVE, CIMARRON, NM 87714-8500
(575) 376-2512
(575) 376-2217
Mailing address
805 ADAMS AVE, CIMARRON, NM 87714-9628
(575) 376-2622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R15228
NM
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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