Individual
EMMA KIBUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
740 BECK AVE, FAIRFIELD, CA 94533-4440
(707) 784-6580
Mailing address
740 BECK AVE, FAIRFIELD, CA 94533-4440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95342148
CA
Other
Enumeration date
05/20/2025
Last updated
08/15/2025
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