Individual
DAVONICA CALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E 3RD ST, PORTALES, NM 88130-6025
(575) 356-7045
Mailing address
722 S AVENUE B, PORTALES, NM 88130-6453
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60108
NM
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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