Individual
MS. ELLINAH KALUMU MUTUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
27328 HONEY SCENTED RD, MORENO VALLEY, CA 92555-4752
(951) 443-5094
(951) 443-5094
Mailing address
27328 HONEY SCENTED RD, MORENO VALLEY, CA 92555-4752
(951) 443-5094
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206729
CA
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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