Individual
CHRISTY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1390 E 20TH ST, FARMINGTON, NM 87401-9037
(505) 599-8612
(505) 599-8681
Mailing address
2412 CATALINA CT, FARMINGTON, NM 87401-4042
(505) 320-4352
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R22008
NM
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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