Individual
GRACE I WANJIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3378 NIMES LN, RIVERSIDE, CA 92503-8906
(714) 234-0504
(714) 234-0504
Mailing address
3378 NIMES LN, RIVERSIDE, CA 92503-8906
(714) 234-0504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95096405
CA
164X00000X
Licensed Vocational Nurse
VN 234062
CA
Other
Enumeration date
12/06/2010
Last updated
05/25/2023
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