ILAITIA LECIA NAMATASERE

RICHMOND, CA
NPI1386243889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-10-26
Last Update Date2023-04-03
Business Address
ILAITIA LECIA NAMATASERE Physician Assistant
841 CHEVRON WAY
RICHMOND, CA 94801-2007
Phone number: 510-242-3032
Mailing Address
ILAITIA LECIA NAMATASERE Physician Assistant
841 CHEVRON WAY
RICHMOND, CA 94801-2007
Phone number: 510-242-3032
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