Individual
ALICE VUGUTSA NGOTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7204 BECKETT FIELD LN, EASTVALE, CA 92880-3446
(559) 410-6699
Mailing address
7204 BECKETT FIELD LN, EASTVALE, CA 92880-3446
(559) 410-6699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95038286
CA
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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