MADONNA IBRAHIM

SAN DIEGO, CA
NPI1992281489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence:   CPO04103)
Additional Taxonomies222Z00000X 
(Licence:   CPO04103)
Enumeration Date2018-07-17
Last Update Date2018-07-17
Business Address
MADONNA IBRAHIM CPO
7910 FROST ST STE 320
SAN DIEGO, CA 92123
Phone number: 619-488-6196
Mailing Address
MADONNA IBRAHIM CPO
7910 FROST ST STE 320
SAN DIEGO, CA 92123-2791
Phone number:
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