Individual
GEOFFREY NGUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10913 GLADLANDS AVE, STOCKTON, CA 95219-8800
(574) 329-1509
Mailing address
10913 GLADLANDS AVE, STOCKTON, CA 95219-8800
(574) 329-1509
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
95083983
CA
163WM0705X
Medical-Surgical Registered Nurse
Primary
95083983
CA
163WP0200X
Pediatric Registered Nurse
95083983
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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