Provider Demographics
NPI:1578136990
Name:NJERI, LINDA WAIRIMU
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:WAIRIMU
Last Name:NJERI
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 1:905 KALANIANAOLE HWY SPC 5001
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4669
Mailing Address - Country:US
Mailing Address - Phone:808-247-2973
Mailing Address - Fax:
Practice Address - Street 1:9279 THILOW DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-4116
Practice Address - Country:US
Practice Address - Phone:916-889-6528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician