SHADDE OTHMAN

POMONA, CA
NPI1700376324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-05-18
Last Update Date2018-05-18
Business Address
SHADDE OTHMAN
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-9116
Mailing Address
SHADDE OTHMAN
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-9116
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