SHADI ADIB BASHAI

CHARLESTON, WV
NPI1144833823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WV  IN0009782)
Enumeration Date2020-08-24
Last Update Date2020-08-26
Business Address
SHADI ADIB BASHAI
743 1/2 WASHINGTON ST W
CHARLESTON, WV 25302-1844
Phone number: 786-859-3616
Mailing Address
SHADI ADIB BASHAI
743 1/2 WASHINGTON ST W
CHARLESTON, WV 25302-1844
Phone number: 786-859-3616
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