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ABDULLATIF ALJASIM
>> Driver >> Other Service ProvidersRegistrant NPI Number: 1114487477
Individual Registrant: ABDULLATIF ALJASIM
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
11925 BARCLAY DR MORENO VALLEY, CA 92557-5915 US
Tel: 415-936-4567 Fax: --
Tel: 415-936-4567 Fax: --
Contact information for business:
11925 BARCLAY DR MORENO VALLEY, CA 92557-5915 US
Tel: 415-936-4567 Fax: --
Tel: 415-936-4567 Fax: --
Registration Information:
NPI: 1114487477
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172A00000X | Other Service Providers Driver | CA | Y4777315 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
