Individual
CAROL MORAA MACHOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11972 GADWALL DR, JURUPA VALLEY, CA 91752-2941
(612) 644-3974
Mailing address
11972 GADWALL DR, JURUPA VALLEY, CA 91752-2941
(612) 644-3974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95260111
CA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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