Individual
ANN ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(562) 428-4111
(562) 984-5461
Mailing address
1750 DATE AVE, TORRANCE, CA 90503-7210
(310) 755-5103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005144
CA
363LP2300X
Primary Care Nurse Practitioner
95005144
CA
Other
Enumeration date
01/05/2017
Last updated
11/13/2019
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