Individual
MAZEN KHALED SHOUKHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5880 FAIR ISLE DR APT 108, RIVERSIDE, CA 92507-8455
(840) 444-7202
Mailing address
5880 FAIR ISLE DR APT 108, RIVERSIDE, CA 92507-8455
(840) 444-7202
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
34129A4
CA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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