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Individual

JAHIR BALAWAG ARAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14536 ROSCOE BLVD STE 104, PANORAMA CITY, CA 91402-4103
(213) 820-9936
Mailing address
14536 ROSCOE BLVD STE 104, PANORAMA CITY, CA 91402-4103
(213) 820-9936

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00031134-0001-7
CA
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
03/27/2019
Last updated
11/04/2019
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