ABDULLATIF ALJASIM
Individual Provider (NPI-1)
Active
Driver
Provider Information
- NPI Number
1114487477- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11925 BARCLAY DR, MORENO VALLEY, CA, 925575915
- Phone
- (415) 936-4567
Specialties & Taxonomies
Driver
Primary License: CA #Y4777315