Individual
MR. ALKHATEM MOHAMED MAHMOUD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 PLEASANT MEADOW BOULEVARD APT 13, CUYAHOGA FALLS, OH 44224
(206) 658-7179
Mailing address
282 PLEASANT MEADOW BOULEVARD APT 13, CUYAHOGA FALLS, OH 44224
(206) 658-7179
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
VN026258
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN026258
DRIVER LICENSE
OH
Enumeration date
11/02/2022
Last updated
11/02/2022
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