Ligia Soraya Abohande, FNP
Nurse Practitioner, Family in San Jose, CA. Individual provider (NPI-1).
NPI number1083126684
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1083126684
- Entity type
- Individual (NPI-1)
- Name
- Ligia Soraya Abohande
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2017
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95021628 | CA | Yes |
| 163WW0000X | Registered Nurse, Wound Care | 95108942 | CA |
Other names
- Ligia Soraya Abohande Henriquez (Former Name)
Practice location
2425 Samaritan DrSan Jose, CA 95124
Phone 408-616-0649
Mailing address
P.O Box 320122Los Gatos, CA 95032
Phone 408-616-0649
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