SAM MUSSALLAM

TRACY, CA
NPI1124636592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2020-07-21
Last Update Date2020-07-21
Business Address
SAM MUSSALLAM
524 PRESIDIO PL
TRACY, CA 95377-8508
Phone number: 209-237-7105
Mailing Address
SAM MUSSALLAM
524 PRESIDIO PL
TRACY, CA 95377-8508
Phone number: 209-237-7105