Provider Demographics
NPI:1366275869
Name:MUWELE, CLAIRE (PHD)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:MUWELE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHOMBA
Other - Middle Name:
Other - Last Name:MUWELE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2417 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-4009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1135 W WINONA ST # B514
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-0547
Practice Address - Country:US
Practice Address - Phone:415-917-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty