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Organization

AFRICAJUN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARIT CHIMWALA SELICO FNP (CEO)
(912) 224-0113
Entity
Organization

Contact information

Practice address
39874 GOLFERS DR, PALMDALE, CA 93551-2982
(912) 224-0113
Mailing address
39874 GOLFERS DR, PALMDALE, CA 93551-2982
(912) 224-0113

Taxonomy

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

Other

Enumeration date
08/06/2020
Last updated
09/24/2020
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