Individual
CADIDJATO DJALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3097 ORMONDE ST, TRACY, CA 95377-7981
(510) 738-9961
Mailing address
3097 ORMONDE ST, TRACY, CA 95377-7981
(510) 738-9961
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95393311
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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