Alice Mumbi Wambaa
Registered Nurse, General Practice in Moorpark, CA. Individual provider (NPI-1).
NPI number1104517846
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1104517846
- Entity type
- Individual (NPI-1)
- Name
- Alice Mumbi Wambaa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 683956 | CA | Yes |
Practice location
11906 Silver Crest StMoorpark, CA 93021-3186
Phone 310-741-2161
Mailing address
11906 Silver Crest StMoorpark, CA 93021-3186
Phone 310-741-2161
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