Provider Demographics
NPI:1659920197
Name:KARANJA, LOICE WAMBUI
Entity Type:Individual
Prefix:
First Name:LOICE
Middle Name:WAMBUI
Last Name:KARANJA
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 1:2500 S PEPPERTREE ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-5505
Mailing Address - Country:US
Mailing Address - Phone:559-805-1213
Mailing Address - Fax:
Practice Address - Street 1:2500 S PEPPERTREE ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5505
Practice Address - Country:US
Practice Address - Phone:559-805-1213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031664163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical