Individual provider · NPI-1

Stembile Madakiwe

Registered Nurse, General Practice · San Bernardino, CA

NPI number1124662242
StatusActive
Last updated in NPPESJul 25, 2022

Details

NPI
1124662242
Entity type
Individual (NPI-1)
Name
Stembile Madakiwe
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2019
Last updated
Jul 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice95013154CAYes

Practice location

410 E Parkcenter Cir N
San Bernardino, CA 92408-2869

Phone 949-572-4873

Mailing address

410 E Parkcenter Cir N
San Bernardino, CA 92408-2869

Phone 949-572-4873

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