Wadzanayi Nicole Chikungwa
Student in an Organized Health Care Education/Training Program in Long Beach, CA. Individual provider (NPI-1).
NPI number1760119366
StatusActive
Last updated in NPPESAug 3, 2022
Details
- NPI
- 1760119366
- Entity type
- Individual (NPI-1)
- Name
- Wadzanayi Nicole Chikungwa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2022
- Certification date
- Aug 3, 2022
- Last updated
- Aug 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1301 Pine AveLong Beach, CA 90813-3124
Phone 562-595-1159 · Fax 562-486-4661
Mailing address
1301 Pine AveLong Beach, CA 90813-3124
Phone 562-595-1159 · Fax 562-486-4661
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