Individual
SABA TESFAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 EL RANCHO VIS, FULLERTON, CA 92833-1725
(612) 423-5046
Mailing address
2255 EL RANCHO VIS, FULLERTON, CA 92833-1725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95001528
CA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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