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Individual

GRACE WANJIRU WAMAGATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8256 CAMINO ALTO DR, RIVERSIDE, CA 92504-2438
(562) 335-2658
Mailing address
8256 CAMINO ALTO DR, RIVERSIDE, CA 92504-2438
(562) 335-2658

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN95316549
CA

Other

Enumeration date
03/09/2023
Last updated
03/10/2023
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