Provider Demographics
NPI:1336884626
Name:JAMALEDDINE, RASSILE
Entity Type:Individual
Prefix:
First Name:RASSILE
Middle Name:
Last Name:JAMALEDDINE
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 1:9216 ORIZABA AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2836
Mailing Address - Country:US
Mailing Address - Phone:562-413-5547
Mailing Address - Fax:
Practice Address - Street 1:9216 ORIZABA AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2836
Practice Address - Country:US
Practice Address - Phone:562-413-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician