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Individual

CAROLINE NAMIREMBE MAYENGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGPNP-C

Contact information

Practice address
1655 S WESTERN AVE, LOS ANGELES, CA 90006-5801
(323) 737-5200
(323) 737-5400
Mailing address
1655 S WESTERN AVE, LOS ANGELES, CA 90006-5801
(323) 737-5200
(323) 737-5400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020746
CA
363LA2200X
Adult Health Nurse Practitioner
95020746
CA
363LG0600X
Gerontology Nurse Practitioner
95020746
CA
363LP2300X
Primary Care Nurse Practitioner
95020746
CA

Other

Enumeration date
04/27/2022
Last updated
04/27/2022
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