Individual
DENISE MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9077 MARBLE CREST CT, SACRAMENTO, CA 95829-9520
(916) 607-4017
Mailing address
9077 MARBLE CREST CT, SACRAMENTO, CA 95829-9520
(916) 607-4017
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
733218
CA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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