JEANNE MUTONGERWA
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1477008001- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4040 S EASTERN AVE STE 300, LAS VEGAS, NV, 891190854
- Phone
- (702) 463-0300
Specialties & Taxonomies
Licensed Vocational Nurse
License: CA #VN205543
Registered Nurse, Home Health
Primary License: NV #838925