Individual provider · NPI-1

Alexander Abdou

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number1023865904
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1023865904
Entity type
Individual (NPI-1)
Name
Alexander Abdou
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2024
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

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