Individual
ADAM IBRAHAM AWADALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23740 HAWTHORNE BLVD STE 104, TORRANCE, CA 90505-8206
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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