Individual
CHIMWEMWE KAWONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41945 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315-2030
(909) 866-5070
Mailing address
PO BOX 1927, BIG BEAR LAKE, CA 92315-1927
(909) 866-5070
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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