Individual
LILIAN ATIENO JUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8825 MD BUSH DR, ELK GROVE, CA 95758-1338
(507) 351-2336
Mailing address
8825 MD BUSH DR, ELK GROVE, CA 95758-1338
(507) 351-2336
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95194145
CA
Other
Enumeration date
11/23/2022
Last updated
09/01/2023
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