Individual
MR. MAHMOUD AHMED MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4329 DALEHURST LN, TRACY, CA 95377-8276
(209) 839-8552
Mailing address
4329 DALEHURST LN, TRACY, CA 95377-8276
(209) 839-8552
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
79934
CA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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