Individual
TEOFIK FEHIMOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4636 SCHLOSSER CT, CASTRO VALLEY, CA 94546-3527
(510) 581-6759
Mailing address
4636 SCHLOSSER CT, CASTRO VALLEY, CA 94546-3527
(510) 581-6759
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
940150
CA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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