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Khaled Ibrahim Moh'd Al Smadi
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1891431334

Khaled Ibrahim Moh'd Al Smadi is a Student in an Organized Health Care Education/Training Program based in San Bernardino, CA. Khaled Ibrahim Moh'd Al Smadi practices in San Bernardino, CA. The NPI Number for Khaled Ibrahim Moh'd Al Smadi is 1891431334 and holds a License No. (California).

The current practice location address for Khaled Ibrahim Moh'd Al Smadi is 2101 N. Waterman Avenue, San Bernardino, CA and can be reached out via phone at 909-644-5892.

Location: 2101 N. Waterman Avenue, San Bernardino, CA, 92407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891431334
Provider Name
Khaled Ibrahim Moh'd Al Smadi
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 N. Waterman Avenue, San Bernardino, CA, 92407
Phone Number
909-644-5892
Fax Number
Provider Enumeration Date
05/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 N. Waterman Avenue
City
San Bernardino
State
California
Zip
92404
Phone Number
909-644-5892
Fax Number
person
Provider Business Mailing Address Details
Address
2101 N. Waterman Avenue
City
San Bernardino
State
California
Zip
92404
Phone Number
909-644-5892
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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