Individual
ALICE MUMBI WAMBAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11906 SILVER CREST ST, MOORPARK, CA 93021-3186
(310) 741-2161
Mailing address
11906 SILVER CREST ST, MOORPARK, CA 93021-3186
(310) 741-2161
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
683956
CA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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