Individual provider · Type 1 NPI
Abdullatif Aljasim
Driver · Moreno Valley, CA
NPI number
1114487477
Active
Practice location
11925 Barclay Dr
Moreno Valley, CA 92557-5915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | Y4777315 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1114487477
Abdullatif Aljasim's National Provider Identifier is 1114487477, issued on Mar 22, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Mar 22, 2019.