Glynda Mae Dallas, CNP

NPI #1255383261 in Clovis, New Mexico

Provider Information

NPI Number
1255383261
Entity Type
Individual
Name
Glynda Mae Dallas, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
May 17, 2006
Last Updated
Feb 29, 2012

Practice Location

Address
2000 W 21ST ST
Address 2
#A-1
City
Clovis
ZIP Code
88101-4087
Phone
(575) 762-8055

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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