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Search › California › 163W00000X

Kingsley Johnetebom, RN

NPI 1346137866 · on the registry since 2025 · sole proprietor

Practice

Address
545 Estudillo Ave
San Leandro, CA 94577
Phone
(510) 309-0003
Organisation at this address
Abode Services
Abode Services
Abode Services
Stars Community Services
Stars Behavioral Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
78

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California