Individual
MS. KILA D NSAMENANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 W OAKLAWN RD, PLEASANTON, TX 78064-4033
(830) 569-8940
(830) 569-8527
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(830) 569-8940
(830) 569-8527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA5897
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211975201
—
TX
Enumeration date
08/13/2009
Last updated
03/16/2017
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