Provider Demographics
NPI:1043732134
Name:ZOUHBY, RANEEM (DC)
Entity Type:Individual
Prefix:
First Name:RANEEM
Middle Name:
Last Name:ZOUHBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 KENNEDY PL STE 5
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1272
Mailing Address - Country:US
Mailing Address - Phone:916-398-6680
Mailing Address - Fax:530-341-3704
Practice Address - Street 1:1105 KENNEDY PL STE 5
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1272
Practice Address - Country:US
Practice Address - Phone:916-398-6680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor