Individual
JANE WAWERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2883 PANSY WAY, SAN JACINTO, CA 92582
(913) 671-9057
Mailing address
2883 PANSY WAY, SAN JACINTO, CA 92582-3742
(951) 388-7575
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
262837
CA
Other
Enumeration date
09/30/2018
Last updated
03/12/2022
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