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Individual
MICAELA A ASSAM
Active
Individual
MICAELA A ASSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
95015058
CA
261QF0400X
Federally Qualified Health Center (FQHC)
95015058
CA
363L00000X
Nurse Practitioner
Primary
95015058
CA
Other
Enumeration date
07/18/2022
Last updated
05/10/2026
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