Individual
DAVID YAW KISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1426 TAHOE ST, BEAUMONT, CA 92223-3158
(909) 434-4294
Mailing address
1426 TAHOE ST, BEAUMONT, CA 92223-3158
(909) 434-4294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19728
CA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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