Provider Demographics
NPI:1104263250
Name:MUCHEMI, SHEILA KONYU
Entity type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:KONYU
Last Name:MUCHEMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 N LOS ROBLES AVE
Mailing Address - Street 2:APPT # 314
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1020 S. ARROYO PARKWAY
Practice Address - Street 2:PACIFIC CLINICS PASADENA FULL SERVICE PARTNERSH PROGRAM
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3970
Practice Address - Country:US
Practice Address - Phone:626-403-2794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program