Individual
ALI AYMELEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 977-1591
Mailing address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 977-1591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RADT-1
CA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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