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Individual

SAMY ABDULAHAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12135 ROYAL RD APT 105, EL CAJON, CA 92021-1556
(619) 212-5245
Mailing address
12135 ROYAL RD APT 105, EL CAJON, CA 92021-1556

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1994
NON EMERGENCY MEDICAL TRANSPORTATION PROVIDER
Enumeration date
06/03/2018
Last updated
06/16/2018
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