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Nicole Ezcurra
Student in an Organized Health Care Education/Training Program in Portales, New Mexico
NPI 1033635131

Nicole Ezcurra is a Student in an Organized Health Care Education/Training Program based in Portales, NM. Nicole Ezcurra practices in Portales, NM. The NPI Number for Nicole Ezcurra is 1033635131 and holds a License No. (New Mexico).

The current practice location address for Nicole Ezcurra is 1500 S Ave K, Portales, NM and can be reached out via phone at 415-690-0362 and via fax at 415-690-0362.

Location: 1500 S Ave K, Portales, NM, 88130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033635131
Provider Name
Nicole Ezcurra
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Ave K, Portales, NM, 88130
Phone Number
415-690-0362
Fax Number
415-690-0362
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130-8813
Phone Number
415-690-0362
Fax Number
415-690-0362
person
Provider Business Mailing Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130-8813
Phone Number
415-690-0362
Fax Number
415-690-0362
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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