Individual
PHIONAH NAMIREMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
5424 SHALLOWS PL W, SANTA ROSA, CA 95409-5502
(707) 799-9099
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
20-123820
CA
Other
Enumeration date
04/08/2024
Last updated
04/10/2024
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