Individual
KASIM RAJAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1063 SUGAR SPRINGS DR SW, MARIETTA, GA 30008-3549
(404) 384-8428
Mailing address
1063 SUGAR SPRINGS DR SW, MARIETTA, GA 30008-3549
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
201119
GA
156FX1800X
Optician
Primary
LDO002876
GA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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