IndividualActive
Abdullatif Aljasim
NPI 1114487477 · Driver · Moreno Valley, CA
Provider details
- NPI number
- 1114487477
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- Y4777315 (CA)
Mailing address
11925 Barclay Dr
Moreno Valley, CA 92557-5915
Registry dates
- Enumerated
- 2019-03-22
- Last updated
- 2019-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.