Provider Demographics
NPI:1447575121
Name:ABRAHAM, LOVINAH NDUDIM
Entity Type:Individual
Prefix:MS
First Name:LOVINAH
Middle Name:NDUDIM
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8491 MONTPELIER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-7231
Mailing Address - Country:US
Mailing Address - Phone:916-996-0659
Mailing Address - Fax:916-429-9774
Practice Address - Street 1:8491 MONTPELIER WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-7231
Practice Address - Country:US
Practice Address - Phone:916-996-0659
Practice Address - Fax:916-429-9774
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN205181164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse