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ADELAIDE ABIEMO PAC

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1295900280

Individual Registrant:
 ADELAIDE  ABIEMO PAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
575 E HARDY ST 205 INGLEWOOD, CA 90301-4036 US
Tel: 310-275-7575  Fax: 310-623-6655

Contact information for business:
575 E HARDY ST 205 INGLEWOOD, CA 90301-4036 US
Tel: 310-275-7575  Fax: 310-623-6655

Registration Information:
NPI: 1295900280
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA 19613

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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