Individual
MRS. MARY MUMBI NJOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
907 WOODBROOK LN, PHILADELPHIA, PA 19150-3217
(267) 690-6916
Mailing address
907 WOODBROOK LN, PHILADELPHIA, PA 19150-3217
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP019597
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MN6175625
MN6175625
PA
Enumeration date
12/15/2019
Last updated
03/07/2023
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