HAZAM MANSOUR ADEMHIZAM

BUENA PARK, CA
NPI1073645131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 19085)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
Mr. HAZAM MANSOUR ADEMHIZAM Physician Assistant
6744 KNOTT AVE APT 4
BUENA PARK, CA 90621-2736
Phone number: 714-228-0715
Mailing Address
Mr. HAZAM MANSOUR ADEMHIZAM Physician Assistant
6744 KNOTT AVE APT 4
BUENA PARK, CA 90621-2736
Phone number: 714-228-0715
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