Individual
FELISTA WANJIRU MBOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1179 GRUBSTAKE DR, DIAMOND BAR, CA 91765-2346
(469) 258-1957
Mailing address
1179 GRUBSTAKE DR, DIAMOND BAR, CA 91765-2346
(469) 258-1957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95414105
CA
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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