Individual
ISABELLA MWAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11685 HOLMES AVE, MIRA LOMA, CA 91752-2737
(562) 298-6449
Mailing address
11685 HOLMES AVE, MIRA LOMA, CA 91752-2737
(562) 298-6449
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN239080
CA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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