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1194305623
PEACE KWAMBOKA MOENGA
HOLLYWOOD, FL
NPI
1194305623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95016650)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
PEACE KWAMBOKA MOENGA Aprn
200 S PARK RD STE 200
HOLLYWOOD, FL 33021-8541
Phone number: 954-846-8447
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Mailing Address
PEACE KWAMBOKA MOENGA Aprn
785 SILVESTRE CT
CORONA, CA 92879-7713
Phone number: 214-374-9030
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