Individual
BILAL M ALDAWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8430 PINE RIVER WAY, SACRAMENTO, CA 95823-7233
(916) 620-4020
Mailing address
8430 PINE RIVER WAY, SACRAMENTO, CA 95823-7233
(916) 620-4020
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y3575074
NEMT
CA
Enumeration date
01/16/2023
Last updated
01/16/2023
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