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Individual

NANCY W MWANIA

Active
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Individual

NANCY W MWANIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
714581
CA
207Q00000X
Family Medicine Physician
95007987
CA
363LP2300X
Primary Care Nurse Practitioner
95007987
CA

Other

Enumeration date
03/06/2018
Last updated
08/05/2020
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