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Individual
ALDWIN BEN-AZIZ SOUMARE
Active
Individual
ALDWIN BEN-AZIZ SOUMARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, M.S.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1528700291
CA
2084P0800X
Psychiatry Physician
Primary
20A25640
CA
225400000X
Rehabilitation Practitioner
Primary
1528700291
CA
Other
Enumeration date
04/12/2022
Last updated
09/04/2026
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