Individual
DOMEVLO UMOJA
Active
Individual
DOMEVLO UMOJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 276219
CA
164X00000X
Licensed Vocational Nurse
VN276219
CA
Other
Enumeration date
05/28/2014
Last updated
09/17/2020
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