Individual
MALKIA YUSSUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7553
AZ
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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