Individual
DR. KEFAH T. DWABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4863 EL CAJON BLVD., UNIT # A, SAN DIEGO, CA 92115
(714) 443-1618
(619) 286-9004
Mailing address
4863 EL CAJON BLVD, UNIT # A, SAN DIEGO, CA 92115-4636
(714) 443-1618
(619) 286-9004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A94193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A94193
MEDICAL LICENSE
CA
Enumeration date
09/07/2006
Last updated
06/03/2010
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