Individual
GEORGE WAWERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1777 W LINCOLN RD, STOCKTON, CA 95207-2451
(209) 598-3633
Mailing address
1777 W LINCOLN RD, STOCKTON, CA 95207-2451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
767152
CA
163WM0705X
Medical-Surgical Registered Nurse
767152
CA
Other
Enumeration date
06/10/2021
Last updated
09/30/2024
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