Individual
MRS. LILIAN KAGENDO MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
250 E DAY RD, MISHAWAKA, IN 46545-3471
(574) 247-8700
Mailing address
57443 CABRIOLET CT, ELKHART, IN 46516-8966
(574) 322-0857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007263A
IN
Other
Enumeration date
07/12/2017
Last updated
01/12/2022
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