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Individual

FAITH EZENOGHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UNM HOSPITAL, 2211 LOMAS BLVD, SE, ALBUQUERQUE, NM 87106
(504) 496-8064
(504) 496-8064
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6331
(505) 272-0475

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
16000047
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2017-1062
NM

Other

Enumeration date
10/30/2017
Last updated
02/21/2018
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