Individual
TAYABA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 WATERCOURSE LN, WEST SACRAMENTO, CA 95605-2585
(916) 245-0151
Mailing address
560 WATERCOURSE LN, WEST SACRAMENTO, CA 95605-2585
(916) 245-0151
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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