Individual
NASIR KASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MLS
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
229309
CA
246R00000X
Pathology Technician
64951
CA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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