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MRS. EMMACULATE MMBOGA FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP FAMILY

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95023802
CA
363LF0000X
Family Nurse Practitioner
95023802
CA
363LF0000X
Family Nurse Practitioner
R0089445
OK

Other

Enumeration date
01/13/2012
Last updated
09/17/2025
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