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Individual

MS. JENELICAH WANGUI WANJORAH

Active
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Individual

MS. JENELICAH WANGUI WANJORAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
614353-1
NY
163W00000X
Registered Nurse
RN600255
PA

Other

Enumeration date
03/17/2009
Last updated
05/09/2009
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