Individual
JOYCE WAMBUGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7183 KAISER AVE, FONTANA, CA 92336-3273
(626) 378-5525
Mailing address
7183 KAISER AVE, FONTANA, CA 92336-3273
(626) 378-5525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4311
CA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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