NPI 1255103065

Salah Mousa

Practitioner Driver San Bernardino, CA

Practice location

Address: 6737 Coleen Ln, San Bernardino, CA 92407-1916
Phone: (909) 380-3697

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D4789181 (CA)

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Registry record

NPI: 1255103065
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2023
Record last updated: 25 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.