JUDITH LEAH MWANDAGA


Address: 582 Manhattan Way, Corona, CA 92881-8400
Phone: 7148581284

JUDITH LEAH MWANDAGA (NPI# 1407351935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407351935
Entity Type Individual
Full Name JUDITH LEAH MWANDAGA
Practice Address 582 Manhattan Way
Corona
CA 92881-8400
Practice Telephone 7148581284
Mailing Telephone 7148581284
Enumeration Date 2018-03-27
Last Update Date 2018-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
694652 CA Nursing Service Providers

Office Location

Street Address 582 MANHATTAN WAY
City CORONA
State CA
Zip Code 92881-8400

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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1992037675 Galina Klyuzova Registered Nurse 97-11 Horace Harding Expway, Apt. 12h, Corona, NY 11368 2010-02-05

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Competitor

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City CORONA
Zip Code 92881

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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