Individual
BASSIM ALZAYADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2726 LAWRENCE AVE, FORT WAYNE, IN 46803-3727
(260) 446-2004
Mailing address
2726 LAWRENCE AVE, FORT WAYNE, IN 46803-3727
(260) 446-2004
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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