Individual
SAYF AL-KHAZRAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7673
(574) 307-7692
Mailing address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(773) 766-2855
(574) 307-7692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004428A
IN
Other
Enumeration date
06/27/2023
Last updated
09/04/2024
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