Individual
HAZAEL SHAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 N 3RD AVE UNIT 2019, PHOENIX, AZ 85013-3461
(602) 435-3535
Mailing address
3848 N 3RD AVE UNIT 2019, PHOENIX, AZ 85013-3461
(602) 435-3535
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO43693
AZ
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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