NANA K NKETIAH

FAIRFIELD, CA
NPI1013604206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence:   171M00000X)
Additional Taxonomies103TA0400X Psychologist, Addiction (Substance Use Disorder)
Enumeration Date2023-04-19
Last Update Date2023-04-19
Business Address
NANA K NKETIAH
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-428-1131
Mailing Address
NANA K NKETIAH
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-428-1131