Individual
ALAA MOHAMED ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
445 W BEVERLY PL, TRACY, CA 95376-3010
(209) 855-1463
Mailing address
445 W BEVERLY PL, TRACY, CA 95376-3010
(209) 855-1463
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026344
CA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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