ABRAHA D KIDANE

OAKLAND, CA
NPI1942291265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  PA11772)
Enumeration Date2005-11-04
Last Update Date2007-07-08
Business Address
-- ABRAHA D KIDANE PA
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 209-342-2300
Mailing Address
-- ABRAHA D KIDANE PA
4301 NORTHSTAR WAY
MODESTO, CA 95356-9262
Phone number: 209-342-2300
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