Individual
GODWIN MULENGA CHISHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9899 WARRICK TRL APT 937, NEWBURGH, IN 47630-3736
(918) 812-5181
Mailing address
9899 WARRICK TRL APT 937, NEWBURGH, IN 47630-3736
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143811
IN
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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