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KENTARO JOSHUA KANEKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3850 17TH ST, SAN FRANCISCO, CA 94114-2031
(628) 217-5700
(628) 217-7504
Mailing address
3850 17TH ST, SAN FRANCISCO, CA 94114-2031
(628) 217-5700
(628) 217-7504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95171141
CA
363L00000X
Nurse Practitioner
Primary
95015172
CA

Other

Enumeration date
10/24/2018
Last updated
03/04/2024
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