Individual
BEATRICE NDUKU MWANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
22965 BAY AVE APT 201, MORENO VALLEY, CA 92553-8628
(195) 125-1278
Mailing address
22965 BAY AVE APT 201, MORENO VALLEY, CA 92553-8628
(195) 125-1278
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
263060
CA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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