Individual
DAMARIS KITHEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13585 SAN PABLO AVE, SAN PABLO, CA 94806-3863
(510) 942-4711
Mailing address
2361 JOSIAH WING DR, FAIRFIELD, CA 94533-8974
(510) 290-0272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
781943
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95022878
CA
Other
Enumeration date
08/18/2021
Last updated
09/06/2023
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