Individual
FADUMO AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 EL CAJON BLVD STE B206, SAN DIEGO, CA 92115-3922
(310) 819-6515
Mailing address
6161 EL CAJON BLVD STE B206, SAN DIEGO, CA 92115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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