Individual
EYAD TOTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15583 BUDGE ST, SAN LEANDRO, CA 94579-2305
(209) 565-0148
Mailing address
15583 BUDGE ST, SAN LEANDRO, CA 94579-2305
(209) 565-0148
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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