Individual
ISAM ABAUSHARKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6095 N 1ST ST, FRESNO, CA 93710-5444
(559) 446-1515
(559) 446-1273
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796260
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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