Kingsley U Johnetebom, RN Valid NPI

Individual provider · Registered Nurse · San Leandro, CA

NPI

1346137866

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

95413311 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2025-06-18

Last updated

2025-06-18