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Individual

KYAH KHALSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADJ

Contact information

Practice address
1211 EMBARCADERO, SUITE 300, OAKLAND, CA 94606-5119
(510) 535-1409
(510) 535-1414
Mailing address
1211 EMBARCADERO, SUITE 300, OAKLAND, CA 94606-5119
(510) 535-1409
(510) 535-1414

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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