Individual
THOMAS VANSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
114 TALLA QUAW TRL, CAPITAN, NM 88316-5034
(931) 408-0015
Mailing address
114 TALLA QUAW TRL, CAPITAN, NM 88316-5034
(931) 408-0015
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN-77499
NM
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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