KINGSLEY U JOHNETEBOM

SAN LEANDRO, CA
NPI1346137866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95413311)
Enumeration Date2025-06-18
Last Update Date2025-06-18
Business Address
KINGSLEY U JOHNETEBOM RN
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-309-0003
Mailing Address
KINGSLEY U JOHNETEBOM RN
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-309-0003