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NPI Code Detail

MEDICARE: YASIN ABDULLATIF KAWALYA CNA

MEDICARE: YASIN ABDULLATIF KAWALYA CNA
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
1343800000XSecured Medical Transport (VAN)S32771310MA

General Provider Information

NPI Number : 1073165676
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASIN ABDULLATIF KAWALYA CNA
Provider Business Mailing Address
First Line : 42 FERRY LN
Second Line :
City : LOWELL
State : MA
Zip : 01850-1936
Country : US
Telephone Number : 978-328-2641
Fax Number :
Provider Business Practice Location Address
First Line : 42 FERRY LN
Second Line :
City : LOWELL
State : MA
Zip : 01850-1936
Country : US
Telephone Number : 978-328-2641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2019
Last Update Date : 07/13/2019

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Directions to “ YASIN ABDULLATIF KAWALYA CNA” Practice Location

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