Organization
IMELDA F. ABAKAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IMELDA FLORIA ABAKAN (L.V.N.)
(707) 980-6399
Entity
Organization
Contact information
Practice address
126 SUNFISH CT, VALLEJO, CA 94591-7121
(707) 980-6399
Mailing address
126 SUNFISH CT, VALLEJO, CA 94591-7121
(707) 980-6399
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
VN101924
CA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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