GODWIN KEBILA KABA

SAN JOSE, CA
NPI1629512421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT37777)
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
Mr. GODWIN KEBILA KABA PT
344 LOS PINOS WAY
SAN JOSE, CA 95123-5117
Phone number: 408-759-1924
Mailing Address
Mr. GODWIN KEBILA KABA PT
344 LOS PINOS WAY
SAN JOSE, CA 95123-5117
Phone number: 408-759-1924
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