Individual
EDDAH WANGECI WAITARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
2389 LEIGHTON WAY, ROSEVILLE, CA 95747-8838
(626) 404-3024
Mailing address
2389 LEIGHTON WAY, ROSEVILLE, CA 95747-8838
(626) 404-3024
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
712085
CA
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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