Bader Ibrahim Alkharisi Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Jefferson, LA
- NPI
- 1659859296
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 310234 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-08-06
- Last updated
- 2018-08-06
Practice location
1514 Jefferson Hwy
Jefferson, LA 70121-2429
(504) 842-3925