Individual
JUDITH LEAH MWANDAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
582 MANHATTAN WAY, CORONA, CA 92881-8400
(714) 858-1284
Mailing address
582 MANHATTAN WAY, CORONA, CA 92881-8400
(714) 858-1284
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
694652
CA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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