MICHAEL EDWARD MENDOZA TUBERA

GALLUP, NM
NPI1558087718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  254308)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
MICHAEL EDWARD MENDOZA TUBERA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
MICHAEL EDWARD MENDOZA TUBERA
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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