Individual
NIKI RAE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 E 23RD ST, FARMINGTON, NM 87401-9076
(505) 599-8609
(505) 599-8664
Mailing address
1400 E 23RD ST, FARMINGTON, NM 87401-9076
(505) 599-8609
(505) 599-8664
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-84403
NM
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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