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1386243889
ILAITIA LECIA NAMATASERE
RICHMOND, CA
NPI
1386243889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-10-26
Last Update Date
2023-04-03
Business Address
ILAITIA LECIA NAMATASERE Physician Assistant
841 CHEVRON WAY
RICHMOND, CA 94801-2007
Phone number: 510-242-3032
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Mailing Address
ILAITIA LECIA NAMATASERE Physician Assistant
841 CHEVRON WAY
RICHMOND, CA 94801-2007
Phone number: 510-242-3032
Copy
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