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Individual

EDWARD KIRERI KAMOTHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11972 GADWALL DR, JURUPA VALLEY, CA 91752-2941
(714) 232-5384
Mailing address
11972 GADWALL DR, JURUPA VALLEY, CA 91752-2941
(714) 232-5384

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
811329
CA

Other

Enumeration date
08/02/2017
Last updated
12/02/2020
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