Individual
AISHA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
936 DEWING AVE, LAFAYETTE, CA 94549-4290
(773) 954-6708
Mailing address
906 PODVA RD, DANVILLE, CA 94526-4052
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
02229017
CA
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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