Individual
GRACE NYABOKE MOGAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28427 SUNFLOWER ST, HIGHLAND, CA 92346-5774
(909) 223-0624
Mailing address
28427 SUNFLOWER ST, HIGHLAND, CA 92346-5774
(909) 223-0624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
535873
CA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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