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WAJIDAH ABDUL-KHABIR
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1215323522
Individual Registrant: WAJIDAH ABDUL-KHABIR
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
17095 MAIN ST HESPERIA, CA 92345-6004 US
Tel: 760-241-6666 Fax: 760-947-5619
Tel: 760-241-6666 Fax: 760-947-5619
Contact information for business:
17095 MAIN ST HESPERIA, CA 92345-6004 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1215323522
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 208M00000X | Allopathic & Osteopathic Physicians Hospitalist | CA | A145525 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
