Tijani Bamidele Abdulsalam, IDC
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1144496670
StatusActive
Last updated in NPPESMay 5, 2008
Details
- NPI
- 1144496670
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tijani Bamidele Abdulsalam
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2008
- Last updated
- May 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
2450 Craven StSan Diego, CA 92136-5599
Phone 619-556-8066
Mailing address
2450 Craven StSan Diego, CA 92136-5599
Phone 619-556-8066
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