Individual
JUDAH MWAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11685 HOLMES AVE, MIRA LOMA, CA 91752-2737
(951) 703-9023
Mailing address
11685 HOLMES AVE, MIRA LOMA, CA 91752-2737
(951) 703-9023
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN226728
CA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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