Individual
RONNIE M ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3440 EMPRESA DR STE B, SAN LUIS OBISPO, CA 93401
(805) 548-1550
(805) 623-1595
Mailing address
PO BOX 3160, SAN LUIS OBISPO, CA 93403-3160
(805) 548-1550
(805) 623-1595
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
C159083
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C159083
CA
Other
Enumeration date
06/08/2009
Last updated
01/19/2019
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