Individual
MUCHENGETI NYASHA MUGOMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6001 MOON ST NE APT 2424, ALBUQUERQUE, NM 87111-1457
(615) 424-3767
Mailing address
6001 MOON ST NE APT 2424, ALBUQUERQUE, NM 87111-1457
(615) 424-3767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57459
NM
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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