Individual
GHENET UKBAMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4811 ELIZABETH ST, CUDAHY, CA 90201-5205
(323) 586-9220
Mailing address
1045 ATLANTIC AVE, SUITE 705, LONG BEACH, CA 90813-3408
(562) 491-9281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16228
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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