ESAM IBRAHIM

JACKSON, TN
NPI1316322159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: TN  2016 84394)
Enumeration Date2015-07-22
Last Update Date2015-07-22
Business Address
-- ESAM IBRAHIM
2021 N.HIGHLAND AVE
JACKSON, TN 38305
Phone number: 615-506-9028
Mailing Address
-- ESAM IBRAHIM
2021 N HIGHLAND AVE # 12
JACKSON, TN 38305-4918
Phone number: 615-506-9028
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