Individual
AFEEFA MAHMOUD MIKBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 W STOCKTON BLVD STE 200, ELK GROVE, CA 95758-8070
(916) 896-1144
Mailing address
9300 W STOCKTON BLVD STE 200, ELK GROVE, CA 95758-8070
(916) 896-1144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22617
CA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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