ADELAIDE ABIEMO PAC
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1295900280- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PAC
- Status
- Active
Contact & Location
- Address
- 425 DIAMOND DR STE 104&105, LAKE ELSINORE, CA, 925304495
- Phone
- (951) 674-8779
- Fax
- (951) 674-1403
Specialties & Taxonomies
Physician Assistant
Primary License: CA #pa 19613