Individual
KAZEM ALDARAWSHEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 S GIFFORD AVE STE 2, SAN BERNARDINO, CA 92408-2461
(909) 735-1124
Mailing address
765 S GIFFORD AVE STE 2, SAN BERNARDINO, CA 92408-2461
(909) 735-1124
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F4786644
CA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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