KENNETH AUSTIN CAMACLANG

BERKELEY, CA
NPI1851069850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-03
Last Update Date2021-09-03
Business Address
KENNETH AUSTIN CAMACLANG
2712 TELEGRAPH AVE
BERKELEY, CA 94705-1117
Phone number: 510-548-8283
Mailing Address
KENNETH AUSTIN CAMACLANG
1460 CONTRA COSTA BLVD APT 321
PLEASANT HILL, CA 94523-4823
Phone number: