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Individual

ANTHIONETTE KAMARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN., BSN

Contact information

Practice address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 334-0368
Mailing address
5157 TWINCREEK CT, ANTIOCH, CA 94531-8152
(925) 550-0915

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
796647
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B8046514
DRIVERS LICENSE
CA
Enumeration date
10/02/2015
Last updated
10/02/2015
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