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Individual

BOKENG ISANGE NWENGELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2637 E CARSON ST, CARSON, CA 90810-1508
(310) 933-6450
Mailing address
16761 VIEWPOINT LN APT 80, HUNTINGTON BEACH, CA 92647-4758

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013227
CA

Other

Enumeration date
07/14/2020
Last updated
07/14/2020
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