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Lorelia Booqua-Pooacha, RN

Registered Nurse in Gallup, NM. Individual provider (NPI-1).

NPI number1083808554
StatusActive
Last updated in NPPESAug 28, 2007

Details

NPI
1083808554
Entity type
Individual (NPI-1)
Name
Lorelia Booqua-Pooacha
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2007
Last updated
Aug 28, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseR26191NMYes

Practice location

516 Nizhoni Blvd
Gallup, NM 87301-5748

Phone 505-722-1449

Mailing address

Po Box 1337
Gallup, NM 87305-1337

Phone 505-722-1449 · Fax 505-722-1487

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