Individual
LACI Y BAHROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 TEEGARDEN AVE, YUBA CITY, CA 95991-4541
(530) 674-4530
(530) 674-4530
Mailing address
430 TEEGARDEN AVE, YUBA CITY, CA 95991-4541
(530) 674-4530
(530) 674-4530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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