MR. DOMIANO MUTUKU MUSSAU


Address: 806 American Ave, Lemoore, CA 93245-9166
Phone: 9514962214

MR. DOMIANO MUTUKU MUSSAU (NPI# 1417567579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417567579
Entity Type Individual
Full Name MR. DOMIANO MUTUKU MUSSAU
Credential RN
Practice Address 806 American Ave
Lemoore
CA 93245-9166
Practice Telephone 9514962214
Mailing Telephone 9514962214
Enumeration Date 2020-08-04
Last Update Date 2020-08-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
812291 CA Nursing Service Providers

Office Location

Street Address 806 AMERICAN AVE
City LEMOORE
State CA
Zip Code 93245-9166

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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City LEMOORE
Zip Code 93245

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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