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Individual

MOHAMMAD TAHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13104 ARGON AVE NE, ALBUQUERQUE, NM 87112-4875
(949) 302-4077
Mailing address
3311 SAINT CLAIR DR NE, ATLANTA, GA 30329-2663
(949) 302-4077

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
59945
NM
364SA2200X
Adult Health Clinical Nurse Specialist
59945
NM
364SG0600X
Gerontology Clinical Nurse Specialist
59945
NM

Other

Enumeration date
03/28/2023
Last updated
03/28/2023
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