Individual provider · NPI-1

Anfal Asaad Jasim Al-Gburi

Student in an Organized Health Care Education/Training Program · Las Cruces, NM

NPI number1376238261
StatusActive
Last updated in NPPESApr 7, 2023

Details

NPI
1376238261
Entity type
Individual (NPI-1)
Name
Anfal Asaad Jasim Al-Gburi
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2023
Certification date
Apr 7, 2023
Last updated
Apr 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4311 E Lohman Ave
Las Cruces, NM 88011-8255

Phone 575-556-7600

Mailing address

7804 Greenbriar Dr
Amarillo, TX 79119-4957

Phone 214-236-5002

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