Astra Surom

NPI #1477141463 in Gallup, New Mexico

Provider Information

NPI Number
1477141463
Entity Type
Individual
Name
Astra Surom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Pediatrics
Enumeration Date
Jan 5, 2021
Last Updated
Jan 5, 2021

Practice Location

Address
516 E NIZHONI BLVD
City
Gallup
ZIP Code
87301-5748
Phone
(505) 722-1000

Specialties & Taxonomy Codes

Specialty
Registered Nurse - PediatricsPediatrics

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