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Individual

MUZUNGU MATONGO HAAMANKULI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP

Contact information

Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 498-3333
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 498-3333

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95005634
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
95005634
CA

Other

Enumeration date
11/22/2016
Last updated
12/30/2021
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