Individual
MR. ABDUL KARIM MANSARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1990 W CAMELBACK RD, PHOENIX, AZ 85015-3462
(623) 295-6057
Mailing address
225 S 125TH AVE, AVONDALE, AZ 85323-8336
(623) 466-2660
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
12/14/2022
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