Individual
JACKSON MWANGI MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9568 MOSS HILL WAY, SACRAMENTO, CA 95829-9364
(206) 375-7124
Mailing address
9568 MOSS HILL WAY, SACRAMENTO, CA 95829-9364
(206) 375-7124
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
732204
CA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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