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Individual

MRS. ANITA AWOENAM MAMATTAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6001 TRUXTUN AVE, BAKERSFIELD, CA 93309-0679
(661) 588-4001
Mailing address
13311 PLUMAS WOOD LN, BAKERSFIELD, CA 93314-8042
(166) 158-7483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627116
CA
363LF0000X
Family Nurse Practitioner
Primary
95019685
CA

Other

Enumeration date
01/05/2022
Last updated
09/11/2022
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