ABDUL ISLAM

COMPTON, CA
NPI1134317829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  0510111352)
Enumeration Date2007-10-09
Last Update Date2007-10-09
Business Address
-- ABDUL ISLAM
3209 N ALAMEDA ST STE B
COMPTON, CA 90222-1455
Phone number: 310-537-2273
Mailing Address
-- ABDUL ISLAM
3209 N ALAMEDA ST STE B
COMPTON, CA 90222-1455
Phone number: 310-537-2273
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