Provider Demographics
NPI:1619668423
Name:MICHUKI, ESTHER NJERI
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NJERI
Last Name:MICHUKI
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 1:7706 DUCOR AVE
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-4507
Mailing Address - Country:US
Mailing Address - Phone:818-270-5086
Mailing Address - Fax:
Practice Address - Street 1:7706 DUCOR AVE
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-4507
Practice Address - Country:US
Practice Address - Phone:818-270-5086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95244553163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics