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Ahmad Mahmoud Qudaiesat, FNP
Family Nurse Practitioner in Inglewood, California
NPI 1801350822

Ahmad Mahmoud Qudaiesat is a Family Nurse Practitioner based in El Segundo, CA and is specialized in Family. Ahmad Mahmoud Qudaiesat practices in Inglewood, CA and has the professional credentials of FNP. The NPI Number for Ahmad Mahmoud Qudaiesat is 1801350822 and holds a License No. 95010937 (California).

The current practice location address for Ahmad Mahmoud Qudaiesat is 555 E Hardy St, Inglewood, CA and can be reached out via phone at 310-680-8536.

Location: 555 E Hardy St, Inglewood, CA, 90245-2747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801350822
Provider Name
Ahmad Mahmoud Qudaiesat
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
555 E Hardy St, Inglewood, CA, 90245-2747
Phone Number
310-680-8536
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 E Hardy St
City
Inglewood
State
California
Zip
90301-4011
Phone Number
310-680-8536
Fax Number
person
Provider Business Mailing Address Details
Address
555 E Hardy St
City
Inglewood
State
California
Zip
90301-4011
Phone Number
310-680-8536
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95010937 (California)
Definition
Definition to come...
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