Individual
HABIBA AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1013
(510) 352-9690
Mailing address
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1013
(510) 352-9690
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
684866
CA
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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