Individual
MR. MASOOD MEHDI MARDANZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2195 CLEAR LAKE CT, TRACY, CA 95304-5827
(209) 609-4648
Mailing address
2195 CLEAR LAKE CT, TRACY, CA 95304-5827
(209) 609-4648
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
31865
CA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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