Individual
JIMELA KRYSTAL ABDELKADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 FULTON AVE STE 35, SACRAMENTO, CA 95825-4272
(916) 974-2599
Mailing address
3801 DUCKHORN DR APT 635, SACRAMENTO, CA 95834-1079
(553) 216-8311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
372600000X
Adult Companion
—
—
Other
Enumeration date
05/02/2018
Last updated
12/09/2025
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