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Individual

MERCILLINA N AJUNWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
32350 HEARTH GLEN CT # 1, WINCHESTER, CA 92596-8676
(951) 775-7589
Mailing address
42590 OSLO CIR, TEMECULA, CA 92592-8191
(951) 775-7589

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
576971
CA
163WW0000X
Wound Care Registered Nurse
576971
CA
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/02/2023
Last updated
06/12/2023
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