Individual
ABESS BASMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5608 MINGEE WAY, ELK GROVE, CA 95757-1647
(916) 287-2881
Mailing address
5608 MINGEE WAY, ELK GROVE, CA 95757-1647
(916) 287-2881
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LIC18-001309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LIC18-001309
ELK GROVE
CA
Enumeration date
02/27/2020
Last updated
04/28/2020
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