Individual
MAUREEN MAY TECSON HERBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
1101 VILLANI DR, GALLUP, NM 87301-5451
(805) 450-6883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254500
AZ
163W00000X
Registered Nurse
95334189
CA
Other
Enumeration date
08/31/2023
Last updated
07/02/2025
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