Individual
WATSON KAMBENJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 7899, SOUTH LAKE TAHOE, CA 96158-0899
(916) 644-0951
Mailing address
3408 CHATHAM ST, ROCKLIN, CA 95765-1766
(530) 318-4889
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95036777
CA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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