Individual
YASIN ABDULLATIF KAWALYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
42 FERRY LN, LOWELL, MA 01850-1936
(978) 328-2641
Mailing address
42 FERRY LN, LOWELL, MA 01850-1936
(978) 328-2641
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
S32771310
MA
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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