Individual
EBRAHEEM H HAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13849 COBBLESTONE CT, FONTANA, CA 92335-0504
(786) 564-3771
Mailing address
1524 S EUCLID AVE, ONTARIO, CA 91762-5821
(786) 564-3771
(909) 474-9486
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
361880884
CA
Other
Enumeration date
03/24/2020
Last updated
01/30/2024
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