Individual
ABDELHAMEED YAQOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11225 N 28TH DR STE C207, PHOENIX, AZ 85029-5600
(602) 367-7916
(602) 997-1552
Mailing address
11225 N 28TH DR STE C207, PHOENIX, AZ 85029-5600
(602) 367-7916
(602) 367-7916
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
560174
AZ
Other
Enumeration date
11/28/2012
Last updated
06/10/2019
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