Mamie Mukundi Mandela, NURSEPRACTITIONER
Mamie Mukundi Mandela, NURSEPRACTITIONER is a Nurse Practitioner in Carson, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1413 E 218th StCarson, CA 90745-2402
Phone: (310) 702-5392
Fax: (310) 518-2585
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Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95010871 (CA) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 95010871 (CA) |
Record details
| NPI number | 1831661370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2018 |
| Last updated in NPPES | June 14, 2019 |
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