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Individual

ELIJAH KIHARA KAMOTHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30362 BLUE CEDAR DR, MENIFEE, CA 92584-2744
(714) 452-4439
Mailing address
30362 BLUE CEDAR DR, MENIFEE, CA 92584-2744
(714) 452-4439

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN283551
CA

Other

Enumeration date
02/11/2019
Last updated
02/18/2021
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