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Organization
KABOGO GITAU
Active
Organization
KABOGO GITAU
Active
Other names
Life Care Access
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KABOGO GITAU (OWNER)
(510) 357-7411
Entity
Organization
Contact information
Practice address
14511 E 14TH ST, SAN LEANDRO, CA 94578-2814
(510) 357-7411
(510) 357-7412
Mailing address
14511 E 14TH ST, P.O. BOX 3438, SAN LEANDRO, CA 94578-2814
(510) 357-7411
(510) 357-7412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103435
CA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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