Individual provider · Type 1 NPI

Fanta Mboka

Psychiatric/Mental Health Registered Nurse · Ceres, CA

NPI number 1821552365 Active

Practice location

1904 Richland Ave Bldg A
Ceres, CA 95307-4562

Mailing address

4211 Motif Ct
Turlock, CA 95382-7399

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X739503 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1821552365

Fanta Mboka's National Provider Identifier is 1821552365, issued on Jan 29, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Ceres, CA. The record was last updated on Jan 29, 2019.