FANTA MBOKA

CERES, CA
NPI1821552365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  739503)
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
FANTA MBOKA
1904 RICHLAND AVE BLDG A
CERES, CA 95307-4562
Phone number: 209-300-8800
Mailing Address
FANTA MBOKA
4211 MOTIF CT
TURLOCK, CA 95382-7399
Phone number:
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