Individual
BASHIRU ENIOLA RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17306 SATICOY ST, VAN NUYS, CA 91406-2435
(818) 785-5543
(818) 785-5532
Mailing address
17306 SATICOY ST, VAN NUYS, CA 91406-2435
(818) 785-5543
(818) 785-5532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4414340001
CA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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