Individual
FERNANDO JESUS MURO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
700 W COOLEY ST, SHOW LOW, AZ 85901-4673
(928) 358-3343
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
227406
AZ
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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