Individual
FATIMA ABBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4862 GARDEN HOMES PL, ELK GROVE, CA 95758-9516
(916) 793-8212
Mailing address
4862 GARDEN HOMES PL, ELK GROVE, CA 95758-9516
(916) 793-8212
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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