Individual
SUSHA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38350 40TH ST E, PALMDALE, CA 93552-3075
(661) 255-5301
Mailing address
38350 40TH ST E, PALMDALE, CA 93552-3075
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
717550
CA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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