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NPI Code Detail

MEDICARE: RUTH HAWA MOHAMED

MEDICARE:   RUTH HAWA MOHAMED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker9448NV

General Provider Information

NPI Number : 1295395937
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH HAWA MOHAMED
Provider Business Mailing Address
First Line : 527 LAMBOURNE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-0627
Country : US
Telephone Number : 702-336-4314
Fax Number :
Provider Business Practice Location Address
First Line : 8501 W UNIVERSITY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6157
Country : US
Telephone Number : 702-483-1298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2019
Last Update Date : 03/15/2023

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Directions to “ RUTH HAWA MOHAMED ” Practice Location

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