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Organization
KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC
Active
Organization
KRISTINE MBAMALU NURSE PRACTITIONER AND NURSING SERVICES INC
Active
Other names
DEZAK MENTAL HEALTH PROVIDER
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MBAMALU (OWNER)
(310) 531-6645
Entity
Organization
Contact information
Practice address
21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
(310) 531-6645
Mailing address
21550 OXNARD ST FL 3, WOODLAND HILLS, CA 91367-7105
(310) 531-6645
(310) 531-6645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
12/29/2025
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