Doctor Name: | MESKEREM DABA |
NPI Number: | 1003286246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | 846691 |
Business Practice Address: | 250 Bon Air Rd Greenbrae, CA - 949041702 |
Business Phone Number: | 4154736666 |
Business Fax Number: | |
Mailing Address: | 250 Bon Air Rd, GREENBRAE |
State: | CA |
Postal Code: | 949041702 |
Phone Number: | 4154736666 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 846691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |