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Brian Ibrahim
Student in an Organized Health Care Education/Training Program in Rancho Cucamonga, California
NPI 1124718010

Brian Ibrahim is a Student in an Organized Health Care Education/Training Program based in Rancho Cucamonga, CA. Brian Ibrahim practices in Rancho Cucamonga, CA. The NPI Number for Brian Ibrahim is 1124718010 and holds a License No. (California).

The current practice location address for Brian Ibrahim is 11812 Mount Everett Ct, Rancho Cucamonga, CA and can be reached out via phone at 909-520-3976.

Location: 11812 Mount Everett Ct, Rancho Cucamonga, CA, 91737-7925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124718010
Provider Name
Brian Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
11812 Mount Everett Ct, Rancho Cucamonga, CA, 91737-7925
Phone Number
909-520-3976
Fax Number
Provider Enumeration Date
05/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11812 Mount Everett Ct
City
Rancho Cucamonga
State
California
Zip
91737-7925
Phone Number
909-520-3976
Fax Number
person
Provider Business Mailing Address Details
Address
11812 Mount Everett Ct
City
Rancho Cucamonga
State
California
Zip
91737-7925
Phone Number
909-520-3976
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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