Provider Demographics
NPI:1497532535
Name:OSESO, WAHU KAREITHI
Entity Type:Individual
Prefix:
First Name:WAHU
Middle Name:KAREITHI
Last Name:OSESO
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 1:11 CORBETT CT
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2500
Mailing Address - Country:US
Mailing Address - Phone:650-283-3546
Mailing Address - Fax:
Practice Address - Street 1:19205 SONOMA HWY
Practice Address - Street 2:MAXWELL VILLAGE SHOPPING CENTER
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476
Practice Address - Country:US
Practice Address - Phone:707-938-0281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist