WISAM ALQAZZAZ
Individual Provider (NPI-1)
Active
Non-emergency Medical Transport (VAN)
Provider Information
- NPI Number
1285428912- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- PO BOX 310, DEARBORN HEIGHTS, MI, 481270310
- Phone
- (562) 213-5621
Specialties & Taxonomies
Meals
Lodging
Pharmacy, Mail Order Pharmacy
Private Vehicle
Non-emergency Medical Transport (VAN)
Primary License: MI #5802020115