Individual
ABASS ALIMANY BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
21350 AVALON BLVD UNIT 5070, CARSON, CA 90749-7033
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95181512
CA
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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