Individual
JOBY X ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1536
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN139291
AZ
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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