Individual
MR. MAURICIO MOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(550) 722-1000
(505) 722-1310
Mailing address
1406 COPPER AVE, APT 7, GALLUP, NM 87301-6650
(505) 722-1000
(505) 722-1310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R47544
NM
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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