Individual
DEBBIE VERONICA VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 STATE HWY. 96, GALLINA, NM 87017
(575) 638-5491
(575) 638-5571
Mailing address
PO BOX 230, GALLINA, NM 87017-0230
(575) 638-5491
(575) 638-5571
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R37179
NM
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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