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SARAH ABOUELJOUD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1134763246
Individual Registrant: SARAH ABOUELJOUD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
50 ACACIA AVE SAN RAFAEL, CA 94901-2230 US
Tel: 415-457-4440 Fax: --
Tel: 415-457-4440 Fax: --
Contact information for business:
6816 RIO TEJO WAY ELK GROVE, CA 95757-3432 US
Tel: 916-690-1079 Fax: --
Tel: 916-690-1079 Fax: --
Registration Information:
NPI: 1134763246
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
