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Organization
MAYSAH EHEALTH & WELLNESS LLC
Active
Organization
MAYSAH EHEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTENGWANA KASAPU-MWABA FNP (OWNER)
(678) 559-5065
Entity
Organization
Contact information
Practice address
310 N HAMMES AVE STE 300B, JOLIET, IL 60435-7661
(815) 714-9933
(949) 695-3321
Mailing address
21349 WESTMINSTER LN, SHOREWOOD, IL 60404-2501
(815) 714-9933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
08/06/2024
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