Individual
MOSES BULAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
918 W AVENUE D, LOVINGTON, NM 88260-3808
(575) 425-6045
Mailing address
613 W 2ND ST STE 5, ROSWELL, NM 88201-4671
(575) 840-4888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
62667
NM
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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