Individual
MS. MERCY WANGECHI MUCHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 MANCHESTER DR, SOUTH BEND, IN 46615-3233
(323) 348-0148
Mailing address
803 MANCHESTER DR, SOUTH BEND, IN 46615-3233
(323) 348-0148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28276544C
IN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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