Individual
ETE-KAMBA JEREMIAH AMAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
540 RALSTON AVE, SUITE B, BELMONT, CA 94002-2869
(650) 363-5668
(650) 363-5669
Mailing address
540 RALSTON AVE, SUITE B, BELMONT, CA 94002-2869
(650) 363-5668
(650) 363-5669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
127946
CA
Other
Enumeration date
01/19/2012
Last updated
01/21/2012
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