Individual
MR. MWEZO KUDUMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CERT. OF NURSING
Contact information
Practice address
4848 SAN FELIPE RD, 301, SAN JOSE, CA 95135-1276
(408) 315-1179
(408) 279-2955
Mailing address
4848 SAN FELIPE RD, 301, SAN JOSE, CA 95135-1276
(408) 315-1179
(408) 279-2955
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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