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Individual

KIPTIATU MARIAMA ISCANDARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-6434
(510) 437-6567
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-6434
(510) 437-6567

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
493758
CA

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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