Provider Demographics
NPI:1922583814
Name:HAKIM, DALIA
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:HAKIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 SCENIC RIVER LN APT 15L
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-7528
Mailing Address - Country:US
Mailing Address - Phone:559-303-5534
Mailing Address - Fax:
Practice Address - Street 1:4000 SCENIC RIVER LN APT 15L
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-7528
Practice Address - Country:US
Practice Address - Phone:559-303-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist