Most Relevant Information
Provider Data
| NPI Number: | 1003372004 |
| Provider Name: | LORRAINE AMANDA CABRILLAS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | RN9400085 |
Most Important Dates
| Enumeration Date: | 02/14/2019 |
| Last Updated: | 02/14/2019 |
Provider Practice Location
516 E NIZHONI BLVD
GALLUP
NM
873015748
Practice Location Phone/Fax
| Phone: | 5057221000 |
| Fax: |
Provider Mailing Location
2942 DALTON ST
VERNON
FL
324622018
Provider Mailing Phone/Fax
| Phone: | 8508144204 |
| Fax: |