Individual
AUSTIN MBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2468 KAISER WAY, ANTIOCH, CA 94531-9064
(925) 499-7380
Mailing address
2468 KAISER WAY, ANTIOCH, CA 94531-9064
(925) 499-7380
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN715353
CA
376K00000X
Nurse's Aide
01004170
CA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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