Individual
AYMAN MABROUK EID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W MONTE VISTA AVE, TURLOCK, CA 95382-0110
(209) 669-9704
Mailing address
3001 HAHN DR, APT# 418, MODESTO, CA 95350-0183
(209) 232-0834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64872
CA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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