Individual
HUSSAIN ALQAHTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 RIVER RD, SPENCER, IN, US, SPENCER, IN 47460-4746
(812) 369-9875
Mailing address
1455 RIVER RD, SPENCER, IN, US, SPENCER, IN 47460
(812) 369-9875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2-51239
IN
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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