Provider Demographics
NPI:1508217621
Name:NJOROGE, ABRAHAM MUTURI (LVN)
Entity Type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:MUTURI
Last Name:NJOROGE
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13975 WATERVILLE CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3282
Mailing Address - Country:US
Mailing Address - Phone:210-781-6525
Mailing Address - Fax:
Practice Address - Street 1:13975 WATERVILLE CT
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3282
Practice Address - Country:US
Practice Address - Phone:210-781-6525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215583164X00000X
CA710360164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse