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Individual

ALLISON JANAI HIGGINBOTHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3901 LONE TREE WAY STE 211, ANTIOCH, CA 94509-6200
(925) 756-1192
(925) 779-7220
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 756-1192
(925) 779-7220

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A15957
CA
208M00000X
Hospitalist Physician
Primary
20A15957
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20A15957
STATE MEDICAL LICENSE
CA
Enumeration date
04/26/2015
Last updated
02/11/2022
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