Individual
MUJTABA SYAD KAZEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1534 SABINA CIR, SIMI VALLEY, CA 93063-4542
(805) 304-7153
Mailing address
1534 SABINA CIR, SIMI VALLEY, CA 93063-4542
(805) 304-7153
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7222
CA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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