Individual
AARON MICHAEL MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 612-2476
Mailing address
606 W BROWN AVE, MISHAWAKA, IN 46545-8826
(574) 612-2476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28210346A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
138172
IN
Other
Enumeration date
02/15/2022
Last updated
09/19/2023
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