Individual
MRS. TERESIA NDETE MUATHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
25476 CAMELLIA ST, CORONA, CA 92883-3120
(909) 671-5443
Mailing address
25476 CAMELLIA ST, CORONA, CA 92883-3120
(909) 671-5443
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
95111566
CA
251J00000X
Nursing Care Agency
Primary
9511166
CA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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