Individual
MRS. ALEXIS MIMI DEDE RAHWANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9415 MISSION BLVD, JURUPA VALLEY, CA 92509-2661
(833) 865-8263
Mailing address
22810 CARDINAL ST, GRAND TERRACE, CA 92313-5760
(510) 734-0731
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95032884
CA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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