Individual
ALEX KANGETHE MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1819 OAKLEY CT, STOCKTON, CA 95206-6357
(913) 544-5902
Mailing address
1819 OAKLEY CT, STOCKTON, CA 95206-6357
(913) 544-5902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
819682
CA
Other
Enumeration date
09/05/2024
Last updated
09/10/2024
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