KAMILAH AISHA PUCKETT

OAKLAND, CA
NPI1306445911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  277590)
Enumeration Date2020-10-23
Last Update Date2020-10-23
Business Address
KAMILAH AISHA PUCKETT LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Mailing Address
KAMILAH AISHA PUCKETT LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330