Individual
PHYLLIS NJERI WANJERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 PLEASANT VALLEY RD, DIAMOND SPRINGS, CA 95619-9260
(530) 621-6290
Mailing address
768 PLEASANT VALLEY RD, DIAMOND SPRINGS, CA 95619-9260
(530) 621-6290
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
35139
CA
167G00000X
Licensed Psychiatric Technician
Primary
35139
CA
Other
Enumeration date
07/07/2021
Last updated
06/30/2023
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