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Individual

GUDISSA FUFA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-4000
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-4000

Taxonomy

Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
29728
CA

Other

Enumeration date
12/24/2018
Last updated
12/24/2018
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