Ardron, Marigold Jabbour
Ardron, Marigold Jabbour is an individual health care provider with primary practice located at 2625 Coffee Rd Ste S, Modesto CA 95355-2050. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Ardron, Marigold Jabbour can be contacted via phone (208) 577-1200.Contact Information
Primary practice address
2625 Coffee Rd Ste S
Modesto CA 95355-2050
Phone: (208) 577-1200
Fax: (209) 577-6517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | G66626 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G66626 | California |
Profile Details
| NPI number | 1639174584 |
|---|---|
| LBN Legal business name | Ardron, Marigold Jabbour |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639174584 | NPPES |
| California | Other | G66626 | LICENSE |
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