Individual
AMEEN SULAIMAN MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 LAKERIDGE WAY, SAN RAMON, CA 94582-4821
(925) 209-1611
Mailing address
234 LAKERIDGE WAY, SAN RAMON, CA 94582-4821
(925) 209-1611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
CA
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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