Individual
BRIGITTE OUABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 FRANCISCO BLVD E, 2, SAN RAFAEL, CA 94901-5539
(415) 455-9042
(415) 455-9318
Mailing address
1525 FRANCISCO BLVD E, 2, SAN RAFAEL, CA 94901-5539
(415) 455-9042
(415) 455-9318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74974
CA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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