Mansour Alghamdi
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1386010809
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1386010809
- Entity type
- Individual (NPI-1)
- Name
- Mansour Alghamdi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2015
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Kneeland StFloor 12, Office No. 1242
Boston, MA 02111-1527
Phone 617-636-6986
Mailing address
55 Traveler StApt 508
Boston, MA 02118-2962
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