Individual
PHILIP AL ALIBUDBUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
RN
Contact information
Practice address
5401 MOONLIGHT WAY, ELK GROVE, CA 95758-6850
(209) 763-8058
Mailing address
5401 MOONLIGHT WAY, ELK GROVE, CA 95758-6850
(209) 763-8058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95022405
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95032777
CA
Other
Enumeration date
09/05/2024
Last updated
12/04/2024
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