Basic Information
| Provider Information | |||||||||
| NPI: | 1922324136 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MWANGI | ||||||||
| FirstName: | SCHOLA | ||||||||
| MiddleName: | NJERI | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 427 C ST | ||||||||
| Address2: | SUITE 212 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921015100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192384180 | ||||||||
| FaxNumber: | 6192384245 | ||||||||
| Practice Location | |||||||||
| Address1: | 427 C ST | ||||||||
| Address2: | SUITE 212 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921015100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192384180 | ||||||||
| FaxNumber: | 6192384245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2010 | ||||||||
| LastUpdateDate: | 05/22/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | VN227856 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse | 163W00000X | 807696 | CA | N | Nursing Service Providers | Registered Nurse |
No ID Information.