Individual
YUSEF NOFAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2496 1/2 N MACY ST, SAN BERNARDINO, CA 92407-6597
(646) 523-8208
Mailing address
1089 W HUFF ST, RIALTO, CA 92376-6826
(646) 523-8208
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
361881241
CA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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