Provider Demographics
NPI:1609652411
Name:WANJOHI, FLORENCE WANGUI
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:WANGUI
Last Name:WANJOHI
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 1:15827 SULPHUR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-9104
Mailing Address - Country:US
Mailing Address - Phone:195-148-9784
Mailing Address - Fax:
Practice Address - Street 1:15827 SULPHUR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-9104
Practice Address - Country:US
Practice Address - Phone:195-148-9784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95029921163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse