Individual
KAORU NAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
130 ROSELLA PL, LINCOLN, CA 95648-8923
(916) 396-6182
Mailing address
130 ROSELLA PL, LINCOLN, CA 95648-8923
(916) 396-6182
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
735902
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95015067
CA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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