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Individual

ABDEL QADER MAHMOU TAYYEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
2230 W CHAPMAN AVE STE 221, ORANGE, CA 92868-2316
(714) 712-0711
Mailing address
7832 DANNER CT, RANCHO CUCAMONGA, CA 91730-6866
(714) 493-5401

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035179
CA

Other

Enumeration date
05/31/2025
Last updated
05/31/2025
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