Ibrahim Azrag

NPI #1073984985 in Antioch, Tennessee

Provider Information

NPI Number: 1073984985
Entity Type: Individual
Name: Ibrahim Azrag
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 19, 2015
Last Updated: Oct 19, 2015

Practice Location

Address: 3120 SHADY TREE LN
City: Antioch
State: Tennessee
ZIP Code: 37013-2482
Phone: (615) 585-3778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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