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Individual

ALICE NGANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
42061 ORANGE BLOSSOM DR, TEMECULA, CA 92591-5543
(760) 807-3744
Mailing address
42061 ORANGE BLOSSOM DRIVE, TEMECULA, CA 92591
(760) 807-3744

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95253715
CA
164X00000X
Licensed Vocational Nurse
231959
CA

Other

Enumeration date
05/28/2019
Last updated
10/03/2023
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