Provider Demographics
NPI:1841932969
Name:SESAY, ABDUL RAHMAN
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:RAHMAN
Last Name:SESAY
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ABDUL
Other - Middle Name:R
Other - Last Name:SESAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:50 W MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3083
Mailing Address - Country:US
Mailing Address - Phone:530-782-4108
Mailing Address - Fax:
Practice Address - Street 1:50 W MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3083
Practice Address - Country:US
Practice Address - Phone:530-490-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator