Individual
MILLION B MESFUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4405 ATLANTIC ST, FARMINGTON, NM 87402-1750
(786) 317-4203
Mailing address
4405 ATLANTIC ST, FARMINGTON, NM 87402-1750
(786) 317-4203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03215
NM
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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