Individual
SANDRA KAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
965 EL CAMINO AVE, SACRAMENTO, CA 95815-2530
(916) 642-1867
Mailing address
7708 E PORT DR, SACRAMENTO, CA 95831-5613
(323) 620-6484
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95065306
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95021536
CA
Other
Enumeration date
06/30/2022
Last updated
07/21/2022
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