Whalio Doctors

NPI 1033635131

Nicole Ezcurra

Practitioner Student in an Organized Health Care Education/Training Program Portales, NM

Practice location

Address
1500 S Ave K Station 3 Shroc, Portales, NM 88130-8813
Phone
(415) 690-0362
Fax
(415) 690-0362
Mailing address
1500 S Ave K Station 3 Shroc, Portales, NM 88130

Registered specialties

Student in an Organized Health Care Education/Training Program Primary
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1033635131
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Aug 2017
Record last updated
21 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.