SearchCalifornia106S00000X

Latisha Mabullu

NPI 1548740830 · on the registry since 2018

Practice

Address
1855 2nd St Ste B
Concord, CA 94519
Phone
(925) 239-9640
Clinicians at this address
915

Additional practice sites

  • 41521 W 11 Mile Rd, Novi, MI

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2020-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California