Abdullatif Aljasim
Driver in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1114487477
StatusActive
Last updated in NPPESMar 22, 2019
Details
- NPI
- 1114487477
- Entity type
- Individual (NPI-1)
- Name
- Abdullatif Aljasim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Last updated
- Mar 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | Y4777315 | CA | Yes |
Practice location
11925 Barclay DrMoreno Valley, CA 92557-5915
Phone 415-936-4567
Mailing address
11925 Barclay DrMoreno Valley, CA 92557-5915
Phone 415-936-4567
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Other Driver providers in Moreno Valley, CA
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All 7 Driver providers in Moreno Valley · All 3,435 providers in Moreno Valley
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