Individual
BEATRICE KUVUNA KATEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
(951) 688-3636
Mailing address
15652 WILLIAMS ST APT 14J, TUSTIN, CA 92780-4831
(415) 324-9331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4932
CA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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