Individual
SARAH NAMUKONO KIRYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1720 W BALL RD, 4B, ANAHEIM, CA 92804-5500
(174) 254-0224
(714) 254-0234
Mailing address
1720 W BALL RD, 4 B, ANAHEIM, CA 92804-5500
(714) 254-0224
(714) 254-0234
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA11713
—
CA
Enumeration date
10/03/2007
Last updated
08/05/2013
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