Individual
AHMED MAYET ABDULRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1620 ALPINE BLVD STE 119, ALPINE, CA 91901-1104
(619) 662-4100
Mailing address
1620 ALPINE BLVD STE 119, ALPINE, CA 91901-1104
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
611492736
CA
111N00000X
Chiropractor
Primary
DC28335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699216754
—
OK
Enumeration date
11/15/2006
Last updated
10/16/2023
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