Creo Abraham
Homemaker in Oakland, CA. Individual provider (NPI-1).
NPI number1265327951
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1265327951
- Entity type
- Individual (NPI-1)
- Name
- Creo Abraham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2025
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
4946 Stoneridge CtOakland, CA 94605-3872
Phone 209-617-9508
Mailing address
4946 Stoneridge CtOakland, CA 94605-3872
Phone 209-617-9508
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