Individual
BASIL MUBARKEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45104 10TH ST W, LANCASTER, CA 93534-2310
(661) 941-9543
Mailing address
18201 SHANNON RIDGE PL, CANYON COUNTRY, CA 91387-8135
(661) 839-3915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35675
CA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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