Individual
GLORIA SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
(505) 766-6945
Mailing address
1217 FIRST STREET, ALBUQUERQUE, NM 87102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-80099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850368993
JENNY METZLER
NM
Enumeration date
03/21/2016
Last updated
07/22/2020
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