Individual
BASEM BORAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
775 TUCKER RD, TEHACHAPI, CA 93561-2502
(661) 823-7094
(661) 823-7096
Mailing address
775 TUCKER RD, TEHACHAPI, CA 93561-2502
(661) 823-7094
(661) 823-7096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH84110
CA
Other
Enumeration date
02/23/2021
Last updated
10/13/2022
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