Individual
ABDELRAHIM MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AM
Contact information
Practice address
2909 E REDWOOD LN, PHOENIX, AZ 85048-8526
(623) 999-4141
Mailing address
2909 E REDWOOD LN, PHOENIX, AZ 85048-8526
(623) 999-4141
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D09031606
AZ
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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