Individual
AL-AMEEN ISHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4849 LONE TREE WAY, ANTIOCH, CA 94531-8644
(925) 462-2281
Mailing address
799 WATERVILLE DR, BRENTWOOD, CA 94513-5097
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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