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Organization

GOLDEN STATE EPSILON KIDNEY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STELLA AWUA-LARBI MD (CEO)
(609) 608-0563
Entity
Organization

Contact information

Practice address
390 W STANDLEY ST STE B, UKIAH, CA 95482-4346
(609) 608-0563
Mailing address
420 TEHUACAN RD, UKIAH, CA 95482-2007
(609) 608-0563
(877) 671-4103

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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