Individual
AMEDE B KYUBWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA , MPA
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW136954
CA
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/08/2007
Last updated
06/20/2026
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