Individual
HAJI NOOR HAJIALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9821 APPLE ST, SPRING VALLEY, CA 91977-4665
(619) 519-9282
Mailing address
9821 APPLE ST, SPRING VALLEY, CA 91977-4665
(619) 519-9282
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B8804611
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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