Provider Demographics
NPI:1558143776
Name:DUMBUYA, JAINABA
Entity Type:Individual
Prefix:
First Name:JAINABA
Middle Name:
Last Name:DUMBUYA
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 1:488 WINSLOW ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1847
Mailing Address - Country:US
Mailing Address - Phone:425-350-3887
Mailing Address - Fax:
Practice Address - Street 1:488 WINSLOW ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1847
Practice Address - Country:US
Practice Address - Phone:425-350-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program