Individual
MUIRURI GEORGE WAMAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 RIVERSIDE AVE UNIT 633, JACKSONVILLE, FL 32202-4962
(404) 667-3582
Mailing address
220 RIVERSIDE AVE UNIT 633, JACKSONVILLE, FL 32202-4962
(404) 667-3582
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107085532
MEDICAL INSURANCE
—
Enumeration date
12/05/2022
Last updated
12/05/2022
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