Individual
FATUMA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 E ARTESIA ST STE 310, POMONA, CA 91767-2922
(909) 469-9477
Mailing address
160 E ARTESIA ST STE 310, POMONA, CA 91767-2922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56659
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/22/2019
Last updated
01/06/2020
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