Individual
LYDIA NASIMIYU KHAKALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34360 CRENSHAW ST, BEAUMONT, CA 92223-7448
(858) 349-8214
Mailing address
34360 CRENSHAW ST, BEAUMONT, CA 92223-7448
(858) 349-8214
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
616626
CA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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