Provider Demographics
NPI:1740974310
Name:DHUWA, REJOICE
Entity type:Individual
Prefix:MISS
First Name:REJOICE
Middle Name:
Last Name:DHUWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 ALAMEDA BLVD NE UNIT 3027
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2590
Mailing Address - Country:US
Mailing Address - Phone:505-415-5372
Mailing Address - Fax:
Practice Address - Street 1:6301 ALAMEDA BLVD NE UNIT 3027
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2590
Practice Address - Country:US
Practice Address - Phone:505-415-5372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM90488163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse