Individual
PAUL MUTHAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32138 KALE LN, WINCHESTER, CA 92596-8794
(402) 714-9140
Mailing address
32138 KALE LN, WINCHESTER, CA 92596-8794
(402) 714-9140
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
95083587
CA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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