Individual
CAROLYNE KAVUGWI AMIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 CORELLA, NEWPORT BEACH, CA 92660-3288
(517) 303-0207
Mailing address
1124 CORELLA, NEWPORT BEACH, CA 92660-3288
(517) 303-0207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
851940
CA
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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