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Individual

SOURAV KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4071
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4071

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
40386
CA

Other

Enumeration date
12/22/2018
Last updated
12/22/2018
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