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Individual

ALHASAN JUHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44556
MN
207Q00000X
Family Medicine Physician
Primary
MD60305393
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2022299
WA
Enumeration date
05/04/2006
Last updated
07/12/2023
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