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Individual
KEMERICK TAKANG
Active
Individual
KEMERICK TAKANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95123976
CA
363L00000X
Nurse Practitioner
95022830
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022830
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95123976
CA
Other
Enumeration date
04/22/2020
Last updated
03/31/2026
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