Individual
ALI ALKHAFAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Mailing address
PO BOX 400, LA VERNE, CA 91750-0400
(909) 593-2581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN716705
CA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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