Individual
ELIZABETH WANGARI NDUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25284 COTTAGE AVE APT K2, LOMA LINDA, CA 92354-2352
(909) 587-3527
Mailing address
PO BOX 1429, LOMA LINDA, CA 92354-1429
(909) 587-3527
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
246077
CA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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