Patient | Rabiatou Bah | Preferred Language | en |
Date of birth | January 1, 1965 | Sex | Female |
Race | Unspecified
|
Ethnicity | Unspecified |
Contact info | Home:
224 E. 135th Street, Apt. 902 Bronx, NY 10405, US Tel (Mobile): +1(860)-515-0291 Mail: fatmatabah217@gmail.com |
Patient IDs | 1443559 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
MM0000000389 2.16.840.1.113883.3.3710.3 MODMED 2.16.840.1.113883.3.3710.200.501 115636PAT000000396 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-830555211 2.16.840.1.113883.3.3710.0 |
Document Created: | April 8, 2024, 17:21:15 +0000 |
Author | Diana Tagaban, Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Encounter Id | |||
Encounter Date | From , to , | ||
Encounter Participant | |||
Contact info |
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Legal authenticator | Diana Tagaban signed at April 8, 2024, 17:21:15 +0000 |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Document maintained by | Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |