Provider Demographics
NPI:1033972955
Name:UWOGHIREN, DRUSILLA
Entity Type:Individual
Prefix:MRS
First Name:DRUSILLA
Middle Name:
Last Name:UWOGHIREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GARDEN OF JOY LLC
Mailing Address - Street 2:3908 BRANCH ST
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838
Mailing Address - Country:US
Mailing Address - Phone:510-375-6903
Mailing Address - Fax:
Practice Address - Street 1:GARDEN OF JOY LLC
Practice Address - Street 2:3908 BRANCH ST
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838
Practice Address - Country:US
Practice Address - Phone:510-375-6903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health