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Individual

MASEEH EBRAHIMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8851 OLIVER PL, DUBLIN, CA 94568-1380
(925) 548-6987
Mailing address
8851 OLIVER PL, DUBLIN, CA 94568-1380
(925) 548-6987

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
155795
CA
246RP1900X
Phlebotomy Technician
Primary
CPT34892
CA

Other

Enumeration date
12/29/2009
Last updated
12/29/2009
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