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NPI Code Detail

MEDICARE: TRAIZ AWAD

MEDICARE: TRAIZ AWAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist70623CA

General Provider Information

NPI Number : 1689067746
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAIZ AWAD
Provider Business Mailing Address
First Line : 205 W SHAW AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93612-3602
Country : US
Telephone Number : 559-325-1858
Fax Number :
Provider Business Practice Location Address
First Line : 205 W SHAW AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93612-3602
Country : US
Telephone Number : 559-325-1858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2015
Last Update Date : 03/13/2015

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Directions to “ TRAIZ AWAD ” Practice Location

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