Ibtisam Dahud
Contractor in San Francisco, CA. Individual provider (NPI-1).
NPI number1306267018
StatusActive
Last updated in NPPESDec 23, 2013
Details
- NPI
- 1306267018
- Entity type
- Individual (NPI-1)
- Name
- Ibtisam Dahud
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2013
- Last updated
- Dec 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
995 Potrero AveSan Francisco, CA 94110-2859
Phone 415-206-5756 · Fax 415-206-5513
Mailing address
1326 Lasuen DrMillbrae, CA 94030-2846
Phone 415-206-5756
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