Individual
RODAH W MBURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5456 PINZANO WAY, ANTIOCH, CA 94531-5034
(510) 220-4470
Mailing address
5456 PINZANO WAY, ANTIOCH, CA 94531-5034
(510) 220-4470
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
783897
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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