Organization
ACTIVE FAMILY HEALTH, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MWANIA (NURSE PRACTITIONER)
(949) 295-5345
Entity
Organization
Contact information
Practice address
27555 YNEZ RD STE 210, TEMECULA, CA 92591-4678
(949) 295-5345
(949) 326-7500
Mailing address
27555 YNEZ RD STE 210, TEMECULA, CA 92591-4678
(949) 295-5345
(949) 326-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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