Individual
AHMED FAZAL-UR-REHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 MERIDIAN AVE, LAFAYETTE, LA 70508-7231
(337) 254-8508
Mailing address
104 MERIDIAN AVE, LAFAYETTE, LA 70508-7231
(337) 254-8508
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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