Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | D6743 | AZ |
Y | 213EG0000X | General Practice | D6743 | AZ |
NPI | 1003936808 |
---|---|
Provider Name | Dr. Njeri Njoroge |
First Address | Vancouver, WA 98683-5504 |
Second Address | Surprise, AZ 85374-3060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/07/2007 |