Individual
MRS. MICHELLE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 CHICOMA RD NE, RIO RANCHO, NM 87144-2500
(678) 591-8996
Mailing address
1821 CHICOMA RD NE, RIO RANCHO, NM 87144-2500
(678) 591-8996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-79109
NM
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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