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Individual

HASSAN D JUMA RAMADHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
9621 COLONY ST, ANAHEIM, CA 92804-3475
(714) 394-5639
Mailing address
9621 COLONY ST, ANAHEIM, CA 92804-3475
(714) 394-5639

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 6678
CA

Other

Enumeration date
03/16/2012
Last updated
03/16/2012
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