Individual
COLLINS G ATUBIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1247 S 96TH ST APT 116, MESA, AZ 85209-4270
(480) 876-5485
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
275724
AZ
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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