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Marisol Villacis
Pediatric Registered Nurse in Gallup, New Mexico
NPI 1306461306

Marisol Villacis is a Pediatric Registered Nurse based in Miami, NM and is specialized in Pediatrics. Marisol Villacis practices in Gallup, NM. The NPI Number for Marisol Villacis is 1306461306 and holds a License No. 9256240 (New Mexico).

The current practice location address for Marisol Villacis is 516 E Nizhoni Blvd, Gallup, NM and can be reached out via phone at 505-722-1790.

Location: 516 E Nizhoni Blvd, Gallup, NM, 33196-4347
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Provider Profile Details
NPI Number
1306461306
Provider Name
Marisol Villacis
Credential
Provider Entity Type
Individual
Gender
Female
Address
516 E Nizhoni Blvd, Gallup, NM, 33196-4347
Phone Number
505-722-1790
Fax Number
Provider Enumeration Date
06/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
516 E Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1790
Fax Number
person
Provider Business Mailing Address Details
Address
516 E Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1790
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
9256240 (Florida)
Definition
Definition to come...
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