Ete-kamba Jeremiah Amaku MS, ATC

NPI 1215208574 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1215208574
Gender Male
Enumeration Date 01/19/2012
Last Updated 01/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
540 RALSTON AVE
SUITE B
BELMONT CA, 94002-2869, US
Phone (650) 363-5668
Fax (650) 363-5669
Business Location
540 RALSTON AVE
SUITE B
BELMONT CA, 94002-2869, US
Phone (650) 363-5668
Fax (650) 363-5669
Toxanomy
Taxonomy Code 2255A2300X
License State California
License Number 127946
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According to our database, Ete-kamba Jeremiah Amaku MS, ATC NPI is 1215208574, taxonomy code is 2255A2300X and license number is 127946, license state is located at California. Ete-kamba Jeremiah Amaku MS, ATC physically located at 540 Ralston Ave, Belmont CA, 94002-2869. NPI Number Ete-kamba Jeremiah Amaku MS, ATC has the Individual type.

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1215208574 NPI number is provided on an as is basis without warranty of any kind. 1215208574 is maintained by the National Plan & Provider Enumeration System. The contents of Ete-kamba Jeremiah Amaku MS, ATC are for informational purposes only.