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Individual

ELIUD MAINA KAMANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 578-1211
Mailing address
101 SPADE LEAF BLVD APT 435, HENDERSONVILLE, TN 37075-3792
(949) 800-9773

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000242402
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
95001954
CA

Other

Enumeration date
09/07/2021
Last updated
01/13/2026
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