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Organization

RADIANT WELLNESS & RECOVERY, A PROFESSIONAL NURSING CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERMAN NDUNGU PMHNP-BC (OWNER / INCORPORATOR)
(916) 230-9768
Entity
Organization

Contact information

Practice address
4500 47TH AVE STE 5A, SACRAMENTO, CA 95824-3847
(916) 230-9768
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(916) 230-9768

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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