Individual
AMADU BUBASS KAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
(707) 399-9141
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
(707) 399-9141
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36559
CA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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