Most Relevant Information
Provider Data
| NPI Number: | 1003418088 |
| Provider Name: | JUDY GAMBOA OCAMPO |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | RN-70283 |
Most Important Dates
| Enumeration Date: | 11/13/2020 |
| Last Updated: | 11/13/2020 |
Provider Practice Location
516 E NIZHONI BLVD
GALLUP
NM
873015748
Practice Location Phone/Fax
| Phone: | 5057221000 |
| Fax: |
Provider Mailing Location
222 E NIZHONI BLVD APT E5
GALLUP
NM
873015764
Provider Mailing Phone/Fax
| Phone: | 3098638944 |
| Fax: |