Gamboa, Cassandra Lee

Gamboa, Cassandra Lee is an individual health care provider with primary practice located at 901 Mccoy Ave , Aztec NM 87410-1727. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Gamboa, Cassandra Lee can be contacted via phone (505) 643-6599.

Contact Information

Primary practice address
901 Mccoy Ave Aztec NM 87410-1727
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R55424 New Mexico

Profile Details

NPI number 1518465723
LBN Legal business name Gamboa, Cassandra Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Jan 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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