Individual
MR. ALAA M ALZARKANI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 W ARMSTRONG AVE, PEORIA, IL 61604-4103
(425) 345-2691
Mailing address
12818 15TH PL W, EVERETT, WA 98204
(425) 345-2691
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1023775
NON-MEDICAL TRANSPORTATION
—
Enumeration date
10/26/2021
Last updated
10/26/2021
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