Dixon Mwose
Dixon Mwose is a Contractor in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2022.
- Licensed in
- IN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2610 E Jefferson BlvdSouth Bend, IN 46615-2724
Phone: (574) 276-5026
Fax: (574) 251-0869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X · Licence 201371060-A (IN) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence 201371060-A (IN) |
Record details
| NPI number | 1598474652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2022 |
| Last updated in NPPES | November 30, 2022 |
| Certification date | November 30, 2022 |
| Mailing address | 2610 E Jefferson Blvd, South Bend, IN 46615-2724 |
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