Individual
ANTON Y KANGETHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 AROMAS PL, SOLEDAD, CA 93960-2673
(323) 331-6269
Mailing address
621 AROMAS PL, SOLEDAD, CA 93960-2673
(323) 331-6269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95097701
CA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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