Individual
MIRIAMA VUNIWAQA NASIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10137 CLEARWING LN UNIT 2, ROSCOE, IL 61073-9092
(916) 670-8273
Mailing address
10137 CLEARWING LN UNIT 2, ROSCOE, IL 61073-9092
(916) 670-8273
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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