Provider Demographics
NPI:1588483119
Name:ALJUMHOOR, SABA
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:ALJUMHOOR
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 1:1618 ORANGE AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5381
Mailing Address - Country:US
Mailing Address - Phone:909-602-9514
Mailing Address - Fax:
Practice Address - Street 1:1618 ORANGE AVE APT 202
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5381
Practice Address - Country:US
Practice Address - Phone:909-602-9514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95369695163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics