Individual
CAROLINE WAMBUI NGANGA-NAMASAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 ANNAPOLIS CIR, SAN BERNARDINO, CA 92408-4109
(214) 476-9775
Mailing address
2717 ANNAPOLIS CIR, SAN BERNARDINO, CA 92408-4109
(214) 476-9775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22096
—
CA
Enumeration date
03/10/2021
Last updated
03/10/2021
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