MRS. Alexis Mimi Dede Rahwanji, FNP-C
NPI #1093530354 in Jurupa Valley, California
Provider Information
- NPI Number
- 1093530354
- Entity Type
- Individual
- Name
- MRS. Alexis Mimi Dede Rahwanji, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- FNP-C
- Enumeration Date
- Nov 20, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 9415 MISSION BLVD
- City
- Jurupa Valley
- State
- California
- ZIP Code
- 92509-2661
- Phone
- (833) 865-8263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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