Individual
RAHAB BARDE AZAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 CHALAR ST, SAN DIEGO, CA 92123-2844
(858) 278-7383
Mailing address
4424 44TH ST APT 227, SAN DIEGO, CA 92115-4375
(619) 381-5003
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9124242
DRIVER LICENSE
CA
Enumeration date
10/09/2024
Last updated
10/09/2024
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