Individual
MR. MOHAMED OMAR YUSUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4252 VAN DYKE AVE APT 4, SAN DIEGO, CA 92105-1255
(619) 569-0463
(619) 354-5217
Mailing address
4252 VAN DYKE AVE APT 4, SAN DIEGO, CA 92105-1255
(619) 569-0463
(619) 354-5217
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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