Organization
KAISER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABASSUM MUNIR RD (CLINICAL DIETITIAN)
(510) 481-6319
Entity
Organization
Contact information
Practice address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
(510) 481-6319
Mailing address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
(510) 481-6319
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
943494
CA
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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