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Individual

DR. FAUZIA ASHLEY ABILMONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11315 BRIDGEPORT WAY SW, FRANCISCAN ANESTHESIA ASSOCIATES, LAKEWOOD, WA 98499-3004
(716) 622-3755
Mailing address
11315 BRIDGEPORT WAY SW, FRANCISCAN ANESTHESIA ASSOCIATES, LAKEWOOD, WA 98499-3004
(716) 622-3755

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A110102
CA
207L00000X
Anesthesiology Physician
Primary
MD60295789
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0300145
LABOR AND INDUSTRY
WA
01
1962663773
DSHS MONTANA
MT
05
2022441
WA
01
P01121115
RAILROAD MEDICARE
WA
Enumeration date
06/24/2008
Last updated
02/08/2021
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