Individual
KHALID IBRAHIM KHAWALDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3359 W THORNTON AVE, ANAHEIM, CA 92804-4714
(714) 553-4314
Mailing address
3359 W THORNTON AVE, ANAHEIM, CA 92804-4714
(714) 553-4314
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
567797
CA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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