ISSAM DALE BOUIDIA

LOS ANGELES, CA
NPI1588455992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-05-14
Last Update Date2025-05-14
Business Address
ISSAM DALE BOUIDIA
5066 ROMAINE ST APT 7
LOS ANGELES, CA 90029-2599
Phone number: 213-846-6581
Mailing Address
ISSAM DALE BOUIDIA
5066 ROMAINE ST APT 7
LOS ANGELES, CA 90029-2599
Phone number: 213-846-6581
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