Individual
GUILHERME ABEL MABUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 HIGHWAY 446, NIXON, NV 89424-0227
(775) 574-1018
(775) 574-1028
Mailing address
PO BOX 227, NIXON, NV 89424-0227
(775) 574-1018
(775) 574-1028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3210
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116904
—
NV
05
—
004716904
—
NV
Enumeration date
05/23/2006
Last updated
03/18/2015
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