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Individual

MR. DOMIANO MUTUKU MUSSAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
806 AMERICAN AVE, LEMOORE, CA 93245-9166
(951) 496-2214
Mailing address
806 AMERICAN AVE, LEMOORE, CA 93245-9166
(951) 496-2214

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
812291
CA

Other

Enumeration date
08/04/2020
Last updated
08/04/2020
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