Individual
ROLLY ABUTAL COMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
6963 E MICHIGAN AVE, FRESNO, CA 93727-1443
(559) 375-1658
Mailing address
6963 E MICHIGAN AVE, FRESNO, CA 93727-1443
(559) 375-1658
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
694553
CA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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