Search › California › 1835P0018X
Mourine Ndamukong
NPI 1972908887 · on the registry since 2014 · sole proprietor
Practice
- Address
- 9266 Dairy Ct
Elk Grove, CA 95624 - Phone
- (209) 274-4911
- Organisation at this address
- Mule Creek Sate Prison
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California