Individual
AFOMA C MBANUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-6500
Mailing address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95019990
CA
Other
Enumeration date
06/06/2022
Last updated
04/13/2023
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