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Individual

KOBINA SAKYI SACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2260 E PALMDALE BLVD # J, PALMDALE, CA 93550-4952
(661) 575-1800
Mailing address
PO BOX 1404, ANAHEIM, CA 92815-1404
(714) 864-0735

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
95222442
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95222442
CA

Other

Enumeration date
04/23/2024
Last updated
04/23/2024
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