Individual
MR. ARIEMBA MOMANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7945 MARLA WAY, ELK GROVE, CA 95758-7232
(916) 220-2778
Mailing address
7945 MARLA WAY, ELK GROVE, CA 95758-7232
(916) 220-2778
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95205704
CA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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