Individual
KENNETH OKWUOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6908 CASTRO VERDE WAY, ELK GROVE, CA 95757-3401
(916) 801-4343
Mailing address
6908 CASTRO VERDE WAY, ELK GROVE, CA 95757-3401
Taxonomy
Speciality
Code
Description
License number
State
2279P4000X
Patient Transport Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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