Individual
MOSES THUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7673 CHAPPELLE WAY, ELK GROVE, CA 95757-1688
(443) 710-3011
Mailing address
7673 CHAPPELLE WAY, ELK GROVE, CA 95757-1688
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
R203682
MD
163WG0000X
General Practice Registered Nurse
95375209
CA
163WH0200X
Home Health Registered Nurse
R203682
MD
163WM0705X
Medical-Surgical Registered Nurse
Primary
95375209
CA
Other
Enumeration date
08/15/2024
Last updated
09/06/2024
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