Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0004X | Health Psychologist | 356514 | CA |
NPI | 1215102306 |
---|---|
Provider Name | Mrs. Yasmen Abdallah-Fliers |
First Address | Vista, CA 92081-7360 |
Second Address | Vista, CA 92081-7360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 29/04/2008 |