Individual
MISS FATOU SAMB MBENGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
27753 LAFAYETTE WAY, MORENO VALLEY, CA 92555-5714
(951) 801-2205
(951) 801-2205
Mailing address
27753 LAFAYETTE WAY, MORENO VALLEY, CA 92555-5714
(951) 801-2205
(951) 801-2205
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN695828
CA
Other
Enumeration date
07/01/2021
Last updated
03/09/2022
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