Individual provider · Type 1 NPI

Jean Wangechi Mugo, MD

Student in an Organized Health Care Education/Training Program · Queens Village, NY

NPI number 1053564203 Active

Practice location

7925 Winchester Blvd
Queens Village, NY 11427-2128

Call (718) 264-5030 Map

Fax (718) 264-5027

Mailing address

9205 215th Pl
Queens Village, NY 11428-1232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053564203

Jean Wangechi Mugo, MD's National Provider Identifier is 1053564203, issued on Nov 1, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queens Village, NY. The record was last updated on Nov 1, 2008.