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Individual
JOSEPH NGWA TANIFOR
Active
Individual
JOSEPH NGWA TANIFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP19411
CA
364SG0600X
Gerontology Clinical Nurse Specialist
CNS3298
CA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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