Individual
MR. GRATIOUS NYASHA MUSHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3317 BERKSHIRE RD NE, RIO RANCHO, NM 87144-1624
(615) 635-2789
Mailing address
3317 BERKSHIRE RD NE, RIO RANCHO, NM 87144-1624
(615) 635-2789
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
54756
NM
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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