Madonna Ibrahim, CPO
Madonna Ibrahim, CPO is a Prosthetist in San Diego, California. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
7910 Frost St Ste 320San Diego, CA 92123
Phone: (619) 488-6196
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Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CPO04103 |
|---|---|
| Orthotist | Taxonomy 222Z00000X · Licence CPO04103 |
Record details
| NPI number | 1992281489 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | July 17, 2018 |
| Last updated in NPPES | July 17, 2018 |
| Mailing address | 7910 Frost St Ste 320, San Diego, CA 92123-2791 |
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