Individual
RAHEEM XAVIER NASSARDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(310) 363-5496
Mailing address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(310) 363-5496
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95276867
CA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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