Ilaitia Lecia Namatasere, PHYSICIANASSISTANT
Ilaitia Lecia Namatasere, PHYSICIANASSISTANT is a Physician Assistant in Richmond, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
841 Chevron WayRichmond, CA 94801-2007
Phone: (510) 242-3032
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1386243889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2020 |
| Last updated in NPPES | April 3, 2023 |
| Certification date | April 3, 2023 |
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