Individual
PHOEBE KAHOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 W SANTA CRUZ WAY, MOUNTAIN HOUSE, CA 95391-1178
(916) 397-1698
Mailing address
153 W SANTA CRUZ WAY, MOUNTAIN HOUSE, CA 95391-1178
(916) 397-1698
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95022271
CA
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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