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Individual

MR. ATIEN MARIUS KOUASSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RCP, RRT, CPFT

Contact information

Practice address
5366 KANKAKEE DR, SACRAMENTO, CA 95835-3058
(916) 248-1026
Mailing address
5366 KANKAKEE DR, SACRAMENTO, CA 95835-3058
(916) 248-1026

Taxonomy

Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
135329
CA

Other

Enumeration date
10/01/2020
Last updated
10/06/2020
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