Provider Demographics
NPI:1518125616
Name:NDWIGA, CHARITY MUTHANJE (LVN)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:MUTHANJE
Last Name:NDWIGA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14090 YEARLING LN
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-7526
Mailing Address - Country:US
Mailing Address - Phone:714-797-3629
Mailing Address - Fax:
Practice Address - Street 1:14090 YEARLING LN
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-7526
Practice Address - Country:US
Practice Address - Phone:714-797-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN197806164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse