Provider Demographics
NPI:1255856035
Name:MUJIHIA, KIAJA
Entity Type:Individual
Prefix:
First Name:KIAJA
Middle Name:
Last Name:MUJIHIA
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 1:8422 MEER WAY APT 403
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-3301
Mailing Address - Country:US
Mailing Address - Phone:916-513-9988
Mailing Address - Fax:
Practice Address - Street 1:3101 SEGRETO LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-3054
Practice Address - Country:US
Practice Address - Phone:407-916-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health